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Individual

GOPIKA CHANDRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, PHD

Contact information

Practice address
1150 W FULLERTON AVE, CHICAGO, IL 60614-8160
(773) 549-7757
Mailing address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.134266
IL
207R00000X
Internal Medicine Physician
Primary
125059423
IL

Other

Enumeration date
07/14/2011
Last updated
03/12/2021
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