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Individual

DR. RAJ R MITTAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6419 W 87TH ST, SUITE 1, OAK LAWN, IL 60453-1072
(708) 233-5636
(708) 233-5649
Mailing address
6419 W 87TH ST, OAK LAWN, IL 60453-1072
(708) 233-5636
(708) 233-5649

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
IL

Other

Enumeration date
04/17/2006
Last updated
07/08/2007
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