Individual
DR. MAHER DALATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6917 CERMAK RD STE A, BERWYN, IL 60402-2173
(708) 749-7002
Mailing address
6917 CERMAK RD STE A, BERWYN, IL 60402-2173
(708) 749-7002
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036087750
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
036087750
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036087750
—
IL
Enumeration date
05/28/2006
Last updated
03/19/2016
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