Individual
KAMAKSHI KATWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4220 W 95TH ST STE 200, OAK LAWN, IL 60453-3072
(708) 398-0287
(708) 684-0281
Mailing address
910 S MICHIGAN AVE APT 1615, CHICAGO, IL 60605-2290
(540) 314-6028
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.083464
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2024
Last updated
07/03/2024
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