Individual
NEHA DATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15300 WEST AVE STE 313, ORLAND PARK, IL 60462-4687
(708) 923-7878
(708) 923-7888
Mailing address
15300 WEST AVE STE 313, ORLAND PARK, IL 60462-4687
(708) 923-7878
(708) 923-7888
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
036155757
IL
2084P0800X
Psychiatry Physician
0101278437
VA
2084P0800X
Psychiatry Physician
309859
NY
Other
Enumeration date
04/03/2017
Last updated
03/04/2025
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