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Organization
NIRAV P CHUDGAR MDSC
Active
Organization
NIRAV P CHUDGAR MDSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIRAV PRITAMBHAI CHUDGAR MD (DIRECTOR OF CORPORATION)
(708) 832-0244
Entity
Organization
Contact information
Practice address
1600 167TH ST STE 200, CALUMET CITY, IL 60409-5445
(708) 832-0244
(708) 832-1008
Mailing address
1600 167TH ST STE 200, CALUMET CITY, IL 60409-5445
(708) 832-0244
(708) 832-1008
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01047212A
IN
207R00000X
Internal Medicine Physician
Primary
036096495
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036096495
—
IL
Enumeration date
04/10/2006
Last updated
12/19/2021
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