Individual
DR. RUCHA HAILY DALVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
319 E MADISON ST FL 3, SPRINGFIELD, IL 62701-1035
(217) 545-8000
(217) 545-9537
Mailing address
201 E MADISON ST STE 328, SPRINGFIELD, IL 62702-5131
(217) 545-8000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
125068426
IL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036.152943
IL
Other
Enumeration date
07/26/2016
Last updated
05/03/2022
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