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Individual

NEHA DALAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
600 W LAKE COOK RD, STE 120, BUFFALO GROVE, IL 60089-2089
(847) 808-8884
(847) 808-8890
Mailing address
600 W LAKE COOK RD, STE 120, BUFFALO GROVE, IL 60089-2089
(847) 808-8884
(847) 808-8890

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001634
IA
363AM0700X
Medical Physician Assistant
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
039838
WELL MARK BCBS OF IA
Enumeration date
06/01/2006
Last updated
08/30/2007
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