Healthcare Provider Details

I. General information

NPI: 1275598179
Provider Name (Legal Business Name): NEELAM NARULA MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 06/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2971 W ALGONQUIN RD
ALGONQUIN IL
60102-9406
US

IV. Provider business mailing address

2971 W ALGONQUIN RD SUITE 105
ALGONQUIN IL
60102-9406
US

V. Phone/Fax

Practice location:
  • Phone: 847-854-5490
  • Fax: 847-854-8257
Mailing address:
  • Phone: 847-854-5490
  • Fax: 847-854-8257

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. NEELAM NARULA
Title or Position: PEDIATRICIAN
Credential: M.D.
Phone: 847-854-5490