Individual
KAILASH BAJAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12251 S 80TH AVE, PALOS HEIGHTS, IL 60463-1256
(708) 923-5869
(708) 923-5859
Mailing address
12251 S 80TH AVE STE 1630, PALOS HEIGHTS, IL 60463-1256
(708) 923-5173
(708) 923-5018
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01079172A
IN
207R00000X
Internal Medicine Physician
036.144523
IL
208M00000X
Hospitalist Physician
01079172A
IN
208M00000X
Hospitalist Physician
Primary
036144523
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036144523
—
IL
Enumeration date
05/21/2008
Last updated
12/27/2022
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