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1124029897
INDIRA VAZZALWAR
WAUKEGAN, IL
NPI
1124029897
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Former Name
INDIRA CHIRRAVURI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IL 036109022)
Enumeration Date
2005-08-03
Last Update Date
2014-08-22
Business Address
-- INDIRA VAZZALWAR M.D.
1401 W. DUGDALE RD.
WAUKEGAN, IL 60085
Phone number: 847-249-0600
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Mailing Address
-- INDIRA VAZZALWAR M.D.
6346 N TALMAN AVE SUIT 102
CHICAGO, IL 60659-1898
Phone number: 773-262-1300
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