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Individual

MRS. RADHIKA CHILLARIGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1141 S INDIANA AVE, CROWN POINT, IN 46307-7205
(219) 662-0700
(219) 662-0973
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
01048430
IN
208000000X
Pediatrics Physician
Primary
01048430A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200384690A
IN
Enumeration date
07/09/2006
Last updated
12/02/2024
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