Organization
PK CHANDARANA MD LTD
Active
Organization
PK CHANDARANA MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARAGINI KANTILAL CHANDARANA MD (PRESIDENT PK CHANDARANA MD LTD)
(708) 313-6878
Entity
Organization
Contact information
Practice address
15505 127TH STREET, LEMONT, IL 60439
(708) 313-6878
(708) 246-6674
Mailing address
6458 BIG BEAR DR, INDIAN HEAD PARK, IL 60435
(708) 246-2468
(708) 246-6674
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
03646440
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03646440
—
IL
Enumeration date
11/07/2006
Last updated
08/22/2020
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