Individual
DR. KANCHAN BOGATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 S FAIRFIELD AVE, CHICAGO, IL 60608-1782
(773) 257-5701
Mailing address
633 S LAFLIN ST, CHICAGO, IL 60607-3177
(773) 969-2578
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.085151
IL
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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