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Individual

DR. MALCOLM MARAZBAN VANDREVALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8901 GOLF RD STE 301, DES PLAINES, IL 60016-4029
(847) 318-9330
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036.145442
IL
2084P0800X
Psychiatry Physician
125066881
IL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036.145442
IL

Other

Enumeration date
03/24/2015
Last updated
12/29/2021
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