Organization
PRIMECARE DIAGNOSTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANDARANA KANTI MD (MD)
(708) 452-6842
Entity
Organization
Contact information
Practice address
2801 W ESTES AVE, CHICAGO, IL 60645-2903
(708) 452-6842
Mailing address
2801 W ESTES AVE, CHICAGO, IL 60645-2903
(708) 452-6842
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
—
IL
Other
Enumeration date
03/16/2012
Last updated
08/08/2012
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