Individual
ALOK MOHANTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-6180
Mailing address
10 OXFORD DR, LINCOLNSHIRE, IL 60069-3138
(773) 620-4833
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036117713
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD431110
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024723530001
—
PA
05
—
3051307
—
OH
05
—
3810017746
—
WV
Enumeration date
05/11/2009
Last updated
12/17/2021
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