Individual
AMULYA R. DWARAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1875 W DEMPSTER ST STE 525, PARK RIDGE, IL 60068-1130
(847) 698-5500
Mailing address
1875 W DEMPSTER ST STE 525, PARK RIDGE, IL 60068-1130
(847) 698-5500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125079972
IL
207RC0000X
Cardiovascular Disease Physician
Primary
036.174088
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2022
Last updated
04/03/2025
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