Organization
BHARATI CHITTINENI MD SC
Active
Other names
NAPERBROOK DERMATOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
BHARATI CHITTINENI MD (OWNER)
(630) 739-3376
Entity
Organization
Contact information
Practice address
550 E BOUGHTON RD, SUITE 170, BOLINGBROOK, IL 60440-2100
(630) 739-3376
Mailing address
6547 N AVONDALE AVE, SUITE 001, CHICAGO, IL 60631-1573
(773) 775-1622
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036105923
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036105923
—
IL
Enumeration date
02/28/2008
Last updated
06/18/2008
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