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1457038366
SUMALATHA KHATROTH
CHICAGO, IL
NPI
1457038366
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 125082998)
Enumeration Date
2023-07-03
Last Update Date
2023-08-02
Business Address
SUMALATHA KHATROTH
7531 S STONY ISLAND AVE
CHICAGO, IL 60649-3954
Phone number: 920-930-1704
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Mailing Address
SUMALATHA KHATROTH
1625 E 75TH ST
CHICAGO, IL 60649-3603
Phone number: 773-947-7310
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