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1982130324
TARA KOTAGAL
CHICAGO, IL
NPI
1982130324
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: IL 125.069943)
Enumeration Date
2017-05-04
Last Update Date
2017-05-04
Business Address
-- TARA KOTAGAL M.D.
5841 S MARYLAND AVE
CHICAGO, IL 60637-1447
Phone number: 773-702-6435
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Mailing Address
-- TARA KOTAGAL M.D.
180 HARVESTER DR SUITE 110
BURR RIDGE, IL 60527-7594
Phone number: 773-702-1150
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