Individual
DR. JAYSHREE DHALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2740 W FOSTER AVE, SUITE 316, CHICAGO, IL 60625-3500
(773) 769-9200
(773) 506-6083
Mailing address
2740 W FOSTER AVE STE 316, CHICAGO, IL 60625-3547
(773) 769-9200
(773) 506-6083
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
036-097160
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036097160
—
IL
Enumeration date
05/09/2006
Last updated
04/08/2021
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