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Individual

SAMARENDRA CHANDEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
222 S GREENLEAF ST STE 109, GURNEE, IL 60031-5705
(847) 336-1600
(847) 336-2380
Mailing address
222 S GREENLEAF ST STE 109, GURNEE, IL 60031-5705
(847) 336-1600
(847) 336-2380

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036-097117
IL
207RC0000X
Cardiovascular Disease Physician
86224
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100267943
WI
Enumeration date
10/12/2005
Last updated
05/08/2026
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