Individual
DR. SANDEEP CHUNDURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 E CONGRESS PKWY, SUITE 300, CRYSTAL LAKE, IL 60014-6245
(815) 759-9260
(815) 459-7460
Mailing address
525 E CONGRESS PKWY STE 300, CRYSTAL LAKE, IL 60014-6258
(815) 759-9260
(815) 459-7840
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
36110541
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275843476
GROUP NPI NUMBER
IL
Enumeration date
04/19/2007
Last updated
12/16/2021
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