Individual
DR. KANTILAL CHANDARANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21540 W EMPRESS LN, PLAINFIELD, IL 60544-6316
(708) 246-2468
(708) 887-5532
Mailing address
21540 W EMPRESS LN, PLAINFIELD, IL 60544-6316
(708) 246-2468
(708) 887-5532
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036044743
IL
2085R0202X
Diagnostic Radiology Physician
Primary
36044743
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036044743
—
IL
01
—
36044743
STATE OF ILLINOIS LICENSE
IL
01
—
740210
MEDICARE LEGACY NUMBER
IL
01
—
P00228611
RAILROAD MEDICARE PIN
IL
Enumeration date
08/19/2005
Last updated
12/23/2024
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