Pk Chandarana Md Ltd | |
15505 127th Street Lemont IL 60439 | |
(708) 313-6878 | |
(708) 246-6674 |
Full Name | Pk Chandarana Md Ltd |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 15505 127th Street, Lemont, Illinois |
Authorized Official Name and Position | Paragini Kantilal Chandarana (PRESIDENT PK CHANDARANA MD LTD) |
Authorized Official Contact | 7083136878 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pk Chandarana Md Ltd 6458 Big Bear Dr Indian Head Park IL 60435 Ph: (708) 246-2468 | Pk Chandarana Md Ltd 15505 127th Street Lemont IL 60439 Ph: (708) 313-6878 |
NPI Number | 1649349424 |
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Provider Enumeration Date | 11/07/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649349424 | NPI | - | NPPES |
03646440 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 03646440 (Illinois) | Primary |
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