Individual
DR. JYOTHSNA PALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3330 W 177TH ST STE 1A, HAZEL CREST, IL 60429-2185
(708) 799-1100
(708) 647-6503
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
036122741
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
036122741
IL
Other
Enumeration date
02/04/2009
Last updated
02/20/2023
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