DR. DEEPAK P DALIA (NPI# 1508867441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508867441 |
| Entity Type | Individual |
| Full Name | DR. DEEPAK P DALIA |
| Credential | MD |
| Practice Address |
840 S Waukegan Rd Suite 214 Lake Forest IL 60045-2608 |
| Mailing Address |
520 E 22nd St Lombard IL 60148-6110 |
| Practice Telephone | 8472982192 |
| Mailing Telephone | 6308742542 |
| Mailing Fax Number | 6308742642 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2015-01-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036051924 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | GROUP PTAN | 202926 | 01 |
| IL | 036051924 | 05 |
| Street Address |
840 S WAUKEGAN RD SUITE 214 |
| City | LAKE FOREST |
| State | IL |
| Zip Code | 60045-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194724542 | Unique Medical Imaging Sc | Radiology | 840 S Waukegan Rd, Suite 214, Lake Forest, IL 60045-2608 | 2005-07-19 |
| 1144882259 | Alyssa Pearlstein | Social Worker | 840 S Waukegan Rd, Lake Forest, IL 60045-2608 | 2019-06-28 |
| 1609228683 | Kurt J Brotherson | Family Medicine | 840 S Waukegan Rd, 203, Lake Forest, IL 60045-2608 | 2016-07-01 |
| 1184079782 | Envision Health Clinic | Chiropractor | 840 S Waukegan Rd, #201, Lake Forest, IL 60045-2608 | 2016-05-02 |
| 1952790701 | Dennis Rogan | Hearing Instrument Specialist | 840 S Waukegan Rd, Lake Forest, IL 60045-2608 | 2015-01-16 |
| 1457658304 | Kimberly Conn Fletcher | Chiropractor | 840 S Waukegan Rd, Suite 201, Lake Forest, IL 60045-2608 | 2011-02-11 |
| 1790938561 | Carrie Podolsky | Social Worker | 840 S Waukegan Rd, Lake Forest, IL 60045-2608 | 2008-10-24 |
| 1356501365 | Derek James Bock | Dentist | 840 S Waukegan Rd, Suite 107, Lake Forest, IL 60045-2608 | 2008-06-12 |
| 1073730131 | Anokhi Dalia Bock | Dentist | 840 S Waukegan Rd, Suite 107, Lake Forest, IL 60045-2608 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851931109 | Spine & Wellness Clinic, Inc. | Chiropractor | 775 N Bank Lane Suite 101, Lake Forest, IL 60045 | 2020-01-14 |
| 1184278640 | Mary Belluomini Dipietro | Dietitian, Registered | 1000 North Westmoreland Rd., Lake Forest, IL 60045 | 2019-08-01 |
| 1336621747 | Brook Elizabeth Orvis | Physical Therapist | 1000 N Westmoreland Road, 2nd Floor, Pavilion B, Lake Forest, IL 60045 | 2018-08-31 |
| 1336621028 | Michelle Nebel | Audiologist | 225 East Deerpath, Suite 223, Lake Forest, IL 60045 | 2018-08-30 |
| 1467951731 | Devan Keesling | Audiologist | 800 N Westmoreland Rd Ste Ll30, Lake Forest, IL 60045 | 2018-02-01 |
| 1023516796 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1000 N Westmoreland Rd Ste A, Lake Forest, IL 60045 | 2018-01-29 |
| 1275056780 | Karen Elizabeth Cohen | Counselor | 1331 S. Estate Lane, Lake Forest, IL 60045 | 2017-07-18 |
| 1497281711 | Caroline Connors | Speech-Language Pathologist | 660 Westmoreland Road, Lake Forest, IL 60045 | 2017-05-05 |
| 1013453406 | Katie L Konopacz | Nurse Practitioner | 1000 N Westmoreland Rd # B, Lake Forest, IL 60045 | 2017-01-10 |
| 1225424575 | Sean Robert Wessel | Internal Medicine | 1000 N Westmoreland Rd Ste 3556, Lake Forest, IL 60045 | 2015-04-14 |
| Find all providers in zip 60045 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548457955 | Roee Lazebnik | Radiology | 275 N Field Dr, Lake Forest, IL 60045-2579 | 2007-09-29 |
| 1194741389 | Dana A Gray | Radiology | 660 N Westmoreland Rd Dept Of, Lake Forest, IL 60045-1659 | 2006-07-14 |
| 1194724542 | Unique Medical Imaging Sc | Radiology | 840 S Waukegan Rd, Suite 214, Lake Forest, IL 60045-2608 | 2005-07-19 |
| 1083103006 | Reza Dehdari Md Inc | Radiology | 22972 El Toro Rd, Lake Forest, CA 92630-4961 | 2018-05-04 |
| 1972846236 | Lioubov Soulii | Radiology | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2013-04-04 |
| 1184987356 | Saudur Rahman | Radiology | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2012-06-21 |
| 1063778462 | Ramanujam Govindarajan Prativadi | Radiology | 1000 N Westmoreland Rd, Radiology Department, Lake Forest, IL 60045-1658 | 2012-04-10 |
| 1205102019 | Firas Ramahi | Radiology | 1000 N Westmoreland Rd, Lake Forest, IL 60045 | 2012-03-26 |
| 1215101712 | Steven C Sauk | Radiology | 1000 N Westmoreland Rd, Lake Forest, IL 60045 | 2008-04-15 |
| 1467656041 | Deepa Nonesupplied Popuri | Radiology | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2007-06-14 |
| Find all providers in LAKE FOREST | ||||
| City | LAKE FOREST |
| Zip Code | 60045 |
Please comment or provide details below to improve the information on DR. DEEPAK P DALIA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.