| Indira Vazzalwar, MD | |
|
1401 W. Dugdale Rd., Waukegan, IL 60085 | |
| (847) 249-0600 | |
| (773) 262-1184 |
| Full Name | Indira Vazzalwar |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1401 W. Dugdale Rd., Waukegan, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124029897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036109022 (Illinois) | Primary |
| Entity Name | Illinois Department Of Human Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003960394 PECOS PAC ID: 9830003920 Enrollment ID: O20031113000414 |
| Mailing Address | Practice Location Address |
|---|---|
| Indira Vazzalwar, MD 6346 N Talman Ave, Suit 102, Chicago, IL 60659-1898 Ph: (773) 262-1300 | Indira Vazzalwar, MD 1401 W. Dugdale Rd., Waukegan, IL 60085 Ph: (847) 249-0600 |
Joanna Caban, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3012 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8180 Fax: 847-336-1517 | |
Dr. Sung A Cheon, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2400 Belvidere Rd, Waukegan, IL 60085 Phone: 847-377-8779 Fax: 847-984-5619 | |
Pessoolal S Chhabria, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1616 Grand Ave, 103, Waukegan, IL 60085 Phone: 847-249-3100 Fax: 847-249-3199 | |
Ali Khoshkish, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8075 Fax: 847-984-5685 | |
Hargurmukh Singh, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3012 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8180 Fax: 847-336-1517 | |
Lori Moss, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3012 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8180 Fax: 847-336-1517 |