Individual
DR. ALPA CHANDARANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
250 E SUPERIOR ST, RM. 4-2304, CHICAGO, IL 60611-2914
(312) 472-0436
(312) 472-0480
Mailing address
680 N LAKE SHORE DR, CHICAGO, IL 60611-4546
(312) 695-5645
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036101919
IL
2085R0204X
Vascular & Interventional Radiology Physician
36101919
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36101919
—
IL
Enumeration date
12/30/2005
Last updated
05/09/2013
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