Individual
DR. RAMESH VAZZALWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-5313
(847) 723-2338
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
036105371
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036105371
—
IL
Enumeration date
09/29/2006
Last updated
07/15/2022
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