Dr Deepak P Dalia, MD | |
840 S Waukegan Rd, Suite 214, Lake Forest, IL 60045-2608 | |
(847) 298-2192 | |
Not Available |
Full Name | Dr Deepak P Dalia |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 840 S Waukegan Rd, Lake Forest, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508867441 | NPI | - | NPPES |
036051924 | Medicaid | IL | |
202926 | Other | IL | GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 036051924 (Illinois) | Primary |
Entity Name | Unique Medical Imaging Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811140320 PECOS PAC ID: 8426020884 Enrollment ID: O20090129000540 |
Mailing Address | Practice Location Address |
---|---|
Dr Deepak P Dalia, MD 520 E 22nd St, Lombard, IL 60148-6110 Ph: (630) 874-2542 | Dr Deepak P Dalia, MD 840 S Waukegan Rd, Suite 214, Lake Forest, IL 60045-2608 Ph: (847) 298-2192 |
Ramanujam Govindarajan Prativadi, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 N Westmoreland Rd, Radiology Department, Lake Forest, IL 60045 Phone: 847-535-6300 | |
Dr. Joshua A Tepper, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 N Westmoreland Rd Ste 800, Lake Forest, IL 60045 Phone: 847-535-6300 Fax: 847-535-7847 | |
Dr. Alan J Woronoff, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-535-6300 Fax: 847-535-7847 | |
Saudur Rahman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-535-6300 | |
Beck A Hur, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-234-5600 Fax: 847-535-7847 | |
Anish Chandra Gonchigar, MD Radiology Medicare: Medicare Enrolled Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-535-8080 Fax: 312-926-0826 | |
Dr. Joseph Imperato, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 660 N Westmoreland Rd, Lake Forest Hospital, Lake Forest, IL 60045 Phone: 847-234-6135 Fax: 847-234-2048 |