Individual
KALLOLINI S. TAILOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1901 W HARRISON ST, DEPARTMENT OF RADIOLOGY, CHICAGO, IL 60612-3714
(312) 864-3825
Mailing address
910 ELMWOOD AVE, WILMETTE, IL 60091-1710
(773) 860-9390
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036107258
IL
Other
Enumeration date
06/01/2006
Last updated
04/30/2021
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