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Individual

MADHURITA MALHOTRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4305 LONE TREE CT, NAPERVILLE, IL 60564-9794
(630) 800-1350
Mailing address
4305 LONE TREE CT, NAPERVILLE, IL 60564-9794
(630) 800-1350

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036100407
IL
2084P0800X
Psychiatry Physician
MD070894L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036100407
IL
05
100889522001
PA
Enumeration date
10/11/2006
Last updated
11/28/2011
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