Individual
DR. JORGE CHAHLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
9200 CALUMET AVE STE 300, MUNSTER, IN 46321-2885
(877) 632-6637
(708) 409-5179
Mailing address
1 WESTBROOK CORPORATE CTR STE 240, WESTCHESTER, IL 60154-5745
(708) 236-2673
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
01080005A
IN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
036145722
IL
Other
Enumeration date
10/05/2017
Last updated
04/17/2019
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