Individual
MALLIKA S RAJENDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2040 OGDEN AVE STE 401, AURORA, IL 60504-7208
(630) 585-7100
(630) 907-3969
Mailing address
2357 SEQUOIA DR, AURORA, IL 60506-6222
(630) 585-7100
(630) 907-3998
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036071407
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036071407 5
—
IL
Enumeration date
10/25/2005
Last updated
07/21/2022
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