Individual
MRS. LAKSHMI MANOGNA CHINTALACHERUVU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 PIN OAK DR, CARTERVILLE, IL 62918-1600
(618) 985-3333
(618) 985-1318
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036156370
IL
Other
Enumeration date
06/29/2015
Last updated
07/20/2021
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