Individual
VIKRAM CHOUDHARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.P.O
Contact information
Practice address
440 N MCCLURG CT APT 113, CHICAGO, IL 60611-4352
(219) 793-3339
Mailing address
440 N MCCLURG CT APT 113, CHICAGO, IL 60611-4352
(219) 793-3339
(312) 300-4473
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
213.000389
IL
224P00000X
Prosthetist
Primary
211.000222
IL
Other
Enumeration date
11/17/2009
Last updated
08/12/2021
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