Individual
DR. SUDARSANA CHAKRABARTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15750 S BELL RD, 2D, HOMER GLEN, IL 60491-8412
(708) 737-7136
(708) 887-5886
Mailing address
113 CIRCLE RIDGE DR, BURR RIDGE, IL 60527-8380
(708) 737-7136
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036119041
IL
Other
Enumeration date
03/07/2008
Last updated
04/06/2017
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