Individual
MR. CHANDRAKUMARAN ABIVARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(410) 955-5020
Mailing address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(410) 955-5020
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125.086835
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/09/2023
Last updated
07/03/2025
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