Individual
GURBACHAN S CHADHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5110 W CHICAGO AVE, CHICAGO, IL 60651-2901
(773) 287-2200
(773) 379-9001
Mailing address
5110 W CHICAGO AVE, CHICAGO, IL 60651-2901
(773) 287-2200
(773) 379-9001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1238047
ECFMG
—
01
—
49529630116
AMA
—
Enumeration date
07/28/2006
Last updated
01/18/2008
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