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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