Individual
CHINNAMMAL C KANDASWAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4440 W 95TH ST STE 3192H, OAK LAWN, IL 60453-2600
(708) 684-5685
(708) 684-4712
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-110311
IL
Other
Enumeration date
07/20/2006
Last updated
03/20/2025
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