Organization
KHANDEPARKER, SC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VILAS KHANDEPARKER MD (PRESIDENT)
(773) 581-5888
Entity
Organization
Contact information
Practice address
6084 S ARCHER AVE, SUITE 202, CHICAGO, IL 60638-2747
(773) 581-5888
(773) 581-5895
Mailing address
6084 S ARCHER AVE, SUITE 202, CHICAGO, IL 60638-2747
(773) 581-5888
(773) 581-5895
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
036047939
IL
208800000X
Urology Physician
Primary
036047940
IL
Other
Enumeration date
04/03/2007
Last updated
10/02/2012
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