Organization
CHANDRA DIAGNOSTIC CARDIOLOGY LTD
Active
Organization
CHANDRA DIAGNOSTIC CARDIOLOGY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOKESH CHANDRA M.D. (PHYSICIAN OWNER)
(773) 731-5456
Entity
Organization
Contact information
Practice address
1 INGALLS DR, HARVEY, IL 60426-3558
(708) 333-2300
Mailing address
4250 N MARINE DR, SUITE 236, CHICAGO, IL 60613-1744
(773) 404-0160
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036092076
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1632281
BCBSIL GROUP #
IL
Enumeration date
10/02/2007
Last updated
11/25/2009
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