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Individual

DR. VIVEK CHAUDHRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1740 W TAYLOR ST, DEPT 3449, CHICAGO, IL 60612-7232
(312) 704-2885
(312) 704-2737
Mailing address
200 W ADAMS ST, SUITE 225, CHICAGO, IL 60606-5208
(312) 704-2885
(312) 704-2737

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036090863
IL
208C00000X
Colon & Rectal Surgery Physician
Primary
036090863
IL

Other

Enumeration date
05/09/2006
Last updated
04/22/2021
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