Individual
ALAKA SUBHASH WAIKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1010 S BUTTERNUT CIR, FRANKFORT, IL 60423-2125
(815) 469-0444
Mailing address
1010 S BUTTERNUT CIR, FRANKFORT, IL 60423-2125
(815) 469-0444
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036056348
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036056348
—
IL
Enumeration date
06/13/2012
Last updated
06/13/2012
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