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Organization

CHANDARANA MEDICAL ASSOCIATES S.C.

Active
Other names
SUBURBAN HOSPITAL RADIOLOGIST
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KANTI CHANDARANA MD (PRESIDENT)
(630) 286-4220
Entity
Organization

Contact information

Practice address
5601 S COUNTY LINE RD, HINSDALE, IL 60521-4875
(630) 286-4220
(630) 286-4247
Mailing address
5601 S COUNTY LINE RD, HINSDALE, IL 60521-4875
(630) 286-4220
(630) 286-4247

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2215278
BLUE SHIELD
IL
01
740210
MEDICARE LEGACY NUMBER
IL
01
P00228611
RR MEDICARE
IL
Enumeration date
11/02/2007
Last updated
01/10/2008
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