Individual
RABINDRA NATH MALHOTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4121 FAIRVIEW AVE, SUITE 103, DOWNERS GROVE, IL 60515
(630) 852-0230
(630) 852-0244
Mailing address
4121 FAIRVIEW AVE, SUITE 103, DOWNERS GROVE, IL 60515-2264
(630) 852-0230
(630) 852-0244
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036057516
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036057516
—
IL
Enumeration date
11/17/2005
Last updated
09/17/2018
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