Indira Vazzalwar, M.D.
Psychiatry · Waukegan, IL
UnclaimedM.D.NPI 1124029897
- Primary taxonomy
- 2084P0800X
- Enumerated
- 2005-08-03
- Practice location
- Waukegan, IL
- Last NPPES update
- 2014-08-22
State licenses
- IL · Physician · LICENSED PHYSICIAN AND SURGEONActivethrough 2029
- IL · Resident physician · TEMPORARY MEDICAL PERMITExpiredthrough 2003
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.