Individual
MAGGIE E CHACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
305 N. YORK RD, ELMHURST, IL 60126
(331) 221-4350
(331) 221-3934
Mailing address
4201 WINFIELD RD FL 4, WARRENVILLE, IL 60555-4025
(331) 221-6377
(331) 221-2357
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036098672
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036098672
—
IL
Enumeration date
06/22/2006
Last updated
04/22/2021
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