Organization
CHANDA MENDI MDSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERISE ELMORE (MEDICAL BILLING MANAGER)
(219) 840-2297
Entity
Organization
Contact information
Practice address
7257 S JEFFERY BLVD, CHICAGO, IL 60649-3014
(773) 684-0002
Mailing address
7257 S JEFFERY BLVD, CHICAGO, IL 60649-3014
(773) 684-0002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036047008
IL
208000000X
Pediatrics Physician
Primary
036047008
IL
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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