Provider Demographics
NPI:1952375073
Name:VORA, NILA (MD)
Entity Type:Individual
Prefix:
First Name:NILA
Middle Name:
Last Name:VORA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2160 S 1ST AVE
Mailing Address - Street 2:(7511 LEMONT RD, DARIEN, IL. 60561)
Mailing Address - City:MAYWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60153
Mailing Address - Country:US
Mailing Address - Phone:630-985-4989
Mailing Address - Fax:630-985-4540
Practice Address - Street 1:2160 S 1ST AVE
Practice Address - Street 2:(7511 LEMONT RD, DARIEN, IL. 60561)
Practice Address - City:MAYWOOD
Practice Address - State:IL
Practice Address - Zip Code:60153
Practice Address - Country:US
Practice Address - Phone:630-985-4989
Practice Address - Fax:630-985-4540
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL36052046207R00000X
IL036.052046207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL36052046Medicaid
IL36052046Medicaid