Individual
MAHAK LALANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
621 DEVON AVE, PARK RIDGE, IL 60068-4732
(847) 698-2895
Mailing address
621 DEVON AVE, PARK RIDGE, IL 60068-4732
(847) 698-2895
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016006072
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
135.001135
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2021
Last updated
07/26/2024
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