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Individual

MEENAKSHI CHAKU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-3833
(708) 216-2778
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-3833
(708) 216-2778

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0101247212
VA
207W00000X
Ophthalmology Physician
Primary
036.138633
IL
207W00000X
Ophthalmology Physician
249479
MA
207W00000X
Ophthalmology Physician
4301087957
MI
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
036138633
IL

Other

Enumeration date
05/24/2007
Last updated
02/19/2021
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