Dalia, Deepak P

Dalia, Deepak P is an sole proprietor health care provider with primary practice located at 840 S Waukegan Rd Suite 214, Lake Forest IL 60045-2608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Dalia, Deepak P can be contacted via phone (847) 298-2192.

Contact Information

Primary practice address
840 S Waukegan Rd Suite 214 Lake Forest IL 60045-2608
Phone: (847) 298-2192
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036051924 Illinois

Profile Details

NPI number 1508867441
LBN Legal business name Dalia, Deepak P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2005
Last updated Jan 19th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508867441 NPPES
Illinois MEDICAID 036051924
Illinois Other 202926

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