Individual
EMILY CHACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2511 N KEDZIE BLVD, CHICAGO, IL 60647-2634
(773) 292-2700
Mailing address
2311 W 22ND ST, SUITE 202, OAK BROOK, IL 60523-1225
(630) 320-1160
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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