# CHITRA RADHAKRISHNAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1770773012
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 036.117757 | IL | — |
| 207W00000X | Ophthalmology Physician | 244377 | NY | Yes |

## Other

- **Enumeration date:** 08/01/2007
- **Last updated:** 03/29/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036117757 | — | IL |
| 01 | — | 04901134 | BLUE CROSS BLUE SHIELD OF IL | IL |
| 01 | — | 1770656787 | GROUP NPI | IL |
| 01 | — | 1770773012 | INDIVIDUAL NPI \# | IL |
| 01 | — | DG5819 | RAILROAD MEDICARE GROUP \# | IL |