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NPI Code Detail

MEDICARE: NILA VORA MD

MEDICARE: NILA VORA 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 Physician36052046IL
2207RE0101XEndocrinology, Diabetes & Metabolism Physician036.052046IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952375073
Entity Type Code : Individual
Provider Name (Legal Business Name) : NILA VORA MD
Provider Business Mailing Address
First Line : 2160 S 1ST AVE
Second Line : (7511 LEMONT RD, DARIEN, IL. 60561)
City : MAYWOOD
State : IL
Zip : 60153
Country : US
Telephone Number : 630-985-4989
Fax Number : 630-985-4540
Provider Business Practice Location Address
First Line : 2160 S 1ST AVE
Second Line : (7511 LEMONT RD, DARIEN, IL. 60561)
City : MAYWOOD
State : IL
Zip : 60153
Country : US
Telephone Number : 630-985-4989
Fax Number : 630-985-4540
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2006
Last Update Date : 08/02/2016

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