Individual
DR. RAKESH CHANDRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1155 CEDAR CT, CARBONDALE, IL 62901-5333
(618) 490-1045
(618) 319-1279
Mailing address
PO BOX 155, CHRISTOPHER, IL 62822-0155
(618) 724-2401
(618) 319-1279
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036093240
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036093240
—
IL
05
—
370966854006
—
IL
05
—
370966854011
—
IL
05
—
370966854023
—
IL
05
—
370966854024
—
IL
05
—
64130982
—
KY
05
—
6413098200
—
KY
01
—
CF3444
MEDICARE RR
IL
01
—
P00464595
RR MEDICARE PIN #
KY
01
—
P00830780
RR MEDICARE
KY
Enumeration date
06/26/2006
Last updated
03/12/2026
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