Individual
MRS. MALA HAJAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10723 WINTERSET DR, ORLAND PARK, IL 60467-1106
(708) 364-7098
(708) 364-7310
Mailing address
28 DEER PATH TRL, BURR RIDGE, IL 60527-6324
(630) 624-7476
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
336026193
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036061625
—
IL
Enumeration date
09/08/2006
Last updated
12/06/2018
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