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1235877051
RIA DATTA
NORTH CHICAGO, IL
NPI
1235877051
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IL 125.080007)
Enumeration Date
2022-05-23
Last Update Date
2022-06-21
Business Address
RIA DATTA MD
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064-3048
Phone number: 847-688-1900
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Mailing Address
RIA DATTA MD
3333 GREEN BAY RD
NORTH CHICAGO, IL 60064-3037
Phone number:
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