Individual
DR. HEMABH CHANDRA MISHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3631 N HARLEM AVE, CHICAGO, IL 60634-2237
(773) 725-2953
Mailing address
3631 N HARLEM AVE, CHICAGO, IL 60634-2237
(773) 725-2953
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016005828
IL
Other
Enumeration date
08/22/2016
Last updated
06/30/2020
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