Individual
VILAS KHANDEPARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6084 S ARCHER AVE, SUITE 202, CHICAGO, IL 60638-2747
(773) 581-5888
(773) 581-5895
Mailing address
6084 S ARCHER AVE, SUITE 202, CHICAGO, IL 60638-2747
(773) 581-5888
(773) 581-5895
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036047940
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036047940
—
IL
Enumeration date
04/14/2006
Last updated
03/13/2009
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