Individual
DIVYA KARJALA CHAKKARAVARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 W MADISON ST, #3511, CHICAGO, IL 60661-2514
(989) 854-6622
Mailing address
555 W MADISON ST, #3511, CHICAGO, IL 60661-2514
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
125063539
IL
Other
Enumeration date
08/18/2013
Last updated
08/18/2013
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