Organization
MEDICAL ASSOCIATES OF CHATAM, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAYA K SARMA M.D. (OWNER/PRESIDENT)
(773) 488-2595
Entity
Organization
Contact information
Practice address
8541 S STATE ST, SUITE #9, CHICAGO, IL 60619-5665
(773) 488-2595
(773) 783-8561
Mailing address
8541 S STATE ST, SUITE #9, CHICAGO, IL 60619-5665
(773) 488-2595
(773) 783-8561
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036099712
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036099712
—
IL
01
—
H01032
UPIN
IL
Enumeration date
01/06/2010
Last updated
07/30/2015
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