Individual
MADHURIMA KOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2663 N ELSTON AVE, CHICAGO, IL 60647-2018
(773) 394-7029
Mailing address
2663 N ELSTON AVE, CHICAGO, IL 60647-2018
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046012089
IL
Other
Enumeration date
07/13/2026
Last updated
08/04/2026
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