Individual
DR. KALYAN BHOGILAL SANDESARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1008 N WESTERN AVE, CHICAGO, IL 60622-3565
(773) 342-3600
Mailing address
2410 HALINA DR E, GLENVIEW, IL 60026-1196
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036065899
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036065899
—
IL
Enumeration date
12/30/2006
Last updated
07/08/2007
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