Individual
INDIRA VAZZALWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1401 W. DUGDALE RD., WAUKEGAN, IL 60085
(847) 249-0600
(773) 262-1184
Mailing address
6346 N TALMAN AVE, SUIT 102, CHICAGO, IL 60659-1898
(773) 262-1300
(773) 262-1184
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036109022
IL
Other
Enumeration date
08/03/2005
Last updated
08/22/2014
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