Individual
MARK CHANDRAN FLAUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(240) 421-3491
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036161411
IL
207R00000X
Internal Medicine Physician
125.074810
IL
208M00000X
Hospitalist Physician
Primary
036161411
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
03/28/2019
Last updated
08/29/2022
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