Individual
DR. BALA HOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 W POLK ST, CHICAGO, IL 60612-3723
(312) 864-4592
Mailing address
12615 SUFFIELD DR, PALOS PARK, IL 60464-2592
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036100265
IL
Other
Enumeration date
03/02/2007
Last updated
02/22/2013
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