Organization
JALAL RAIS DANA MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JALAL RAIS DANA MD (PEDIATRICIAN PRESIDENT)
(847) 296-6706
Entity
Organization
Contact information
Practice address
8780 W GOLF RD, SUITE 203, NILES, IL 60714
(847) 296-6706
(847) 759-1679
Mailing address
8780 W GOLF RD, SUITE 203, NILES, IL 60714
(847) 296-6706
(847) 759-1679
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36090842
IL
Other
Enumeration date
07/24/2007
Last updated
07/31/2007
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