Organization
PEAKLIFEMD, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UTPAL DHRUVE M.D. (PRESIDENT)
(847) 946-0855
Entity
Organization
Contact information
Practice address
1603 ORRINGTON AVE, SUITE 600, EVANSTON, IL 60201-3841
(847) 946-0855
Mailing address
303 W OHIO ST, UNIT 2007, CHICAGO, IL 60654-7963
(847) 946-0855
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036128875
IL
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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