Individual
DR. MANISHA DAYAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1300 W BELMONT AVE, #216, CHICAGO, IL 60657-3200
(773) 880-1390
Mailing address
1300 W BELMONT AVE STE 407, CHICAGO, IL 60657-3242
(773) 297-2696
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-005780
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01622706
BCBS PPO NUMBER
IL
Enumeration date
12/12/2006
Last updated
01/02/2014
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