Individual
MISHA MANOJ DALAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
1740 W. TAYLOR, CHICAGO, IL 60612
(866) 600-2273
Mailing address
903 S ASHLAND, APT 1115, CHICAGO, IL 60607
(904) 933-8779
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
125.086427
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/13/2025
Last updated
03/04/2026
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