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Individual

CHIRANTAN VINODBHAI MANGUKIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.B.B.S

Contact information

Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036158825
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD470774
PA

Other

Enumeration date
10/02/2018
Last updated
05/24/2022
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