Individual
SAMRIDDH CHAUDHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2160 1ST AVE, BLDG 105, SUITE 2840A, MAYWOOD, IL 60153
(888) 584-7888
Mailing address
2160 1ST AVE, BLDG 105, SUITE 2840A, MAYWOOD, IL 60153
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1497515902
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2024
Last updated
05/29/2024
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