Individual
EVA DUMASIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7620 W 111TH ST, PALOS HILLS, IL 60465-2302
(708) 425-9000
(708) 974-5000
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01069733A
IN
207Q00000X
Family Medicine Physician
Primary
036-128391
IL
207Q00000X
Family Medicine Physician
25MA08949700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201291340
—
IN
Enumeration date
06/13/2011
Last updated
06/23/2022
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