Individual
DIVYA BABBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2380 S ELMHURST RD, MOUNT PROSPECT, IL 60056-5805
(847) 228-5557
Mailing address
2380 S ELMHURST RD, MOUNT PROSPECT, IL 60056-5805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036126798
IL
390200000X
Student in an Organized Health Care Education/Training Program
125054101
IL
Other
Enumeration date
08/03/2008
Last updated
05/27/2014
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