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Individual

ISHANI HARSH DALAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
680 N LAKE SHORE DR STE 800, CHICAGO, IL 60611-8701
(773) 417-9314
Mailing address
680 N LAKE SHORE DR STE 800, CHICAGO, IL 60611-8701
(877) 879-3312

Taxonomy

Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
02004958A
IN
2084P0802X
Addiction Psychiatry Physician
Primary
036138180
IL

Other

Enumeration date
05/07/2009
Last updated
12/11/2018
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