Individual
DEEPA VALLIKAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
979 W MAIN ST STE 201, WEST DUNDEE, IL 60118-2095
(847) 426-9396
(847) 426-1086
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-4757
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209012366
IL
363LF0000X
Family Nurse Practitioner
209012366
IL
Other
Enumeration date
04/06/2015
Last updated
08/08/2024
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