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Individual

DR. CHATRI VANAGASEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2315 EAST 93RD STREET, SUITE 213, CHICAGO, IL 60617
(773) 221-2443
(773) 221-3342
Mailing address
2315 EAST 93RD STREET, SUITE 213, CHICAGO, IL 60617
(773) 221-2443
(773) 221-3342

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01033915A
IN
208600000X
Surgery Physician
Primary
IL

Other

Enumeration date
12/07/2006
Last updated
07/08/2007
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