Individual
DR. CHANDRASEKHAR SOMPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 S HARLEM AVE, BERWYN, IL 60402-1259
(773) 229-1414
(773) 904-9857
Mailing address
1401 S HARLEM AVE, BERWYN, IL 60402-1259
(773) 229-1414
(773) 904-9857
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036094752
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036094752
—
IL
01
—
09015685
BCBS
IL
Enumeration date
08/22/2006
Last updated
05/03/2022
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