Individual
CHANDRA PRASAD PANERU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1901 W HARRISON ST FL 4, CHICAGO, IL 60612-3714
(312) 864-6000
Mailing address
2050 W OGDEN AVE APT UNIT910, CHICAGO, IL 60612-7068
(312) 479-1905
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
125083120
IL
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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