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NPI Code Detail

MEDICARE: AMIT DAYAL MD

MEDICARE: AMIT DAYAL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianIL

General Provider Information

NPI Number : 1205819877
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMIT DAYAL MD
Provider Business Mailing Address
First Line : 5000 S 5TH AVE HINES VA
Second Line : DEPARTMENT OF MEDICINE 14TH FLOOR MAIL CODE 111
City : HINES
State : IL
Zip : 60141-5000
Country : US
Telephone Number : 708-202-5300
Fax Number : 708-202-2195
Provider Business Practice Location Address
First Line : 5000 S 5TH AVE HINES VA
Second Line : DEPARTMENT OF MEDICINE 14TH FLOOR MAIL CODE 111
City : HINES
State : IL
Zip : 60141-5000
Country : US
Telephone Number : 708-202-5300
Fax Number : 708-202-2195
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2005
Last Update Date : 04/17/2008

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Directions to “ AMIT DAYAL MD” Practice Location

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