Individual
DR. VIGNESH CHIDAMBARAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
(312) 864-6000
Mailing address
106 S RIDGELAND AVE APT 402, OAK PARK, IL 60302-4617
(443) 854-9545
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036.170506
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/09/2021
Last updated
08/05/2024
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