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General NPI Number Information
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NPI Number | 1922085695
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Entity Type | Individual
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Provider Name | MAHIM K VORA MD
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Gender | Male
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Dates
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Enumeration Date | 12/23/2005
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Last Update Date | 07/16/2014
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Provider Practice Location Address
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Address Line | 3235 VOLLMER ROAD SUITE 119
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City | FLOSSMOOR
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State | IL
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Zip | 60426
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Country | US
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Telephone | 708-754-8815
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Fax | 708-798-1315
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Provider Business Mailing Address
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Address Line | 112 SADDLEBROOK DRIVE
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City | OAKBROOK
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State | IL
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Zip | 60523
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Country | US
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Telephone | 708-535-1333
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Fax | 708-535-1777
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036058126
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License Number State | IL
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