Individual
DR. RAJ CHABLANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
734 W 47TH ST, CHICAGO, IL 60609-4411
(773) 388-1600
(773) 388-8936
Mailing address
734 W 47TH ST, CHICAGO, IL 60609-4411
(773) 388-1600
(773) 388-8936
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036.158689
IL
2084P0800X
Psychiatry Physician
280040
NY
2084P0800X
Psychiatry Physician
MT198048
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036.158689
—
IL
Enumeration date
06/30/2010
Last updated
12/29/2021
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