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Individual
WADIH CHACRA
Active
Individual
WADIH CHACRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036138923
IL
207R00000X
Internal Medicine Physician
Primary
4301090067
MI
207RG0100X
Gastroenterology Physician
036138923
IL
Other
Enumeration date
08/08/2007
Last updated
06/02/2025
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