Individual
DEVALINGAM MAHALINGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
645 N MICHIGAN AVE STE 1006, CHICAGO, IL 60611-2814
(210) 413-1723
Mailing address
645 N MICHIGAN AVE STE 1006, CHICAGO, IL 60611-2814
(210) 413-1723
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
P1668
TX
207RX0202X
Medical Oncology Physician
Primary
036-142503
IL
207RX0202X
Medical Oncology Physician
P1668
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206454501
—
TX
Enumeration date
07/01/2009
Last updated
07/21/2022
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