Organization
BALA KANAGARAJU, M.D.S.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BALA R KANAGARAJU M.D (OWNER)
(708) 799-0234
Entity
Organization
Contact information
Practice address
7914 S ASHLAND AVE, CHICAGO, IL 60620-4335
(773) 651-6800
Mailing address
1807 VOLLMER RD, FLOSSMOOR, IL 60422-1960
(708) 799-0234
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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