Individual
BALA KANAGARAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7914 S ASHLAND, CHICAGO, IL 60620
(773) 651-6800
(773) 651-1420
Mailing address
1807 VOLLMER RD, FLOSSMOOR, IL 60422
(773) 651-6800
(773) 651-1420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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