Provider Demographics
NPI:1891954905
Name:VAIS, DANA IOANA (MD)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:IOANA
Last Name:VAIS
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Gender:F
Credentials:MD
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Mailing Address - Street 1:901 MCCLINTOCK DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:BURR RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60527-0872
Mailing Address - Country:US
Mailing Address - Phone:888-220-6432
Mailing Address - Fax:630-654-4253
Practice Address - Street 1:2923 N CALIFORNIA AVE
Practice Address - Street 2:STE 220
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60618-7702
Practice Address - Country:US
Practice Address - Phone:888-220-6432
Practice Address - Fax:773-205-7654
Is Sole Proprietor?:No
Enumeration Date:2008-06-03
Last Update Date:2021-12-29
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Provider Licenses
StateLicense IDTaxonomies
IL036.118291207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036118291Medicaid
IL036118291Medicaid