Individual
VIKRAM NANDHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1645 W JACKSON BLVD, CHICAGO, IL 60612-3276
(312) 942-2200
Mailing address
1645 W JACKSON BLVD STE 200, CHICAGO, IL 60612-3227
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036.148801
IL
Other
Enumeration date
06/09/2016
Last updated
06/25/2019
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