IndividualActive
Divakar Mithal, M.D., PH.D.
NPI 1992122410 · Neurology with Special Qualifications in Child Neurology Physician · Chicago, IL
Provider details
- NPI number
- 1992122410
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., PH.D.
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense 036.147516 (IL)
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
225 E Chicago Ave Dept of
Chicago, IL 60611-2991
Phone: (312) 227-3550
Fax: (312) 227-9450
Approximate (ZIP-level) locationGet directions
Mailing address
225 E Chicago Ave
Chicago, IL 60611-2991
Registry dates
- Enumerated
- 2014-03-21
- Last updated
- 2019-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.