OrganizationActive
Bala Kanagaraju, M.d.s.c
NPI 1295050821 · General Practice Physician · Chicago, IL
Provider details
- NPI number
- 1295050821
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bala Kanagaraju, Owner(708) 799-0234
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
7914 S Ashland Ave
Chicago, IL 60620-4335
Phone: (773) 651-6800
Approximate (ZIP-level) locationGet directions
Mailing address
1807 Vollmer Rd
Flossmoor, IL 60422-1960
Registry dates
- Enumerated
- 2010-04-07
- Last updated
- 2010-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.