Indira Vazzalwar, MD | |
1401 W. Dugdale Rd., Waukegan, IL 60085 | |
(847) 249-0600 | |
(773) 262-1184 |
Full Name | Indira Vazzalwar |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1401 W. Dugdale Rd., Waukegan, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1124029897 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | 036109022 (Illinois) | Primary |
Entity Name | Illinois Department Of Human Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003960394 PECOS PAC ID: 9830003920 Enrollment ID: O20031113000414 |
Mailing Address | Practice Location Address |
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Indira Vazzalwar, MD 6346 N Talman Ave, Suit 102, Chicago, IL 60659-1898 Ph: (773) 262-1300 | Indira Vazzalwar, MD 1401 W. Dugdale Rd., Waukegan, IL 60085 Ph: (847) 249-0600 |
Joanna Caban, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3012 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8180 Fax: 847-336-1517 | |
Dr. Sung A Cheon, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2400 Belvidere Rd, Waukegan, IL 60085 Phone: 847-377-8779 Fax: 847-984-5619 | |
Pessoolal S Chhabria, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1616 Grand Ave, 103, Waukegan, IL 60085 Phone: 847-249-3100 Fax: 847-249-3199 | |
Hargurmukh Singh, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3012 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8180 Fax: 847-336-1517 | |
Lori Moss, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3012 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8180 Fax: 847-336-1517 | |
Heena Dipak Pandya, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3010 Grand Ave, Child And Adolescent Behavioral Services, Waukegan, IL 60085 Phone: 847-377-8950 Fax: 414-266-3735 |