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Individual

MANALI DOSHI KALRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(224) 610-7151
Mailing address
1123 W GRACE ST, #3E, CHICAGO, IL 60613-3250

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036.123163
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1083684922
THE EYE SPECIALIST CENTER, LLC GRP NPI
IL
01
1699802421
ESC OPTICAL GRP NPI NUMBER
IL
01
205785
ESC GROUP MEDICARE COOK CO
IL
01
2057850055
INDIVIDUAL PTAN
IL
01
205786
ESC GROUP MEDICARE DUPAGE CO
IL
Enumeration date
04/14/2008
Last updated
05/23/2012
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