IndividualActive
Indira Vazzalwar, M.D.
NPI 1124029897 · Psychiatry Physician · Waukegan, IL
Provider details
- NPI number
- 1124029897
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 036109022 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1401 W. Dugdale Rd.
Waukegan, IL 60085
Phone: (847) 249-0600
Fax: (773) 262-1184
Street-level locationGet directions
Mailing address
6346 N Talman Ave
Chicago, IL 60659-1898
Registry dates
- Enumerated
- 2005-08-03
- Last updated
- 2014-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.