| Caitlin Chandran Msn, Aprn-fpa, Fnp-bc Pllc | |
|
102 Center St Grayslake IL 60030-1533 | |
| (303) 895-4252 | |
| Not Available |
| Full Name | Caitlin Chandran Msn, Aprn-fpa, Fnp-bc Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 102 Center St, Grayslake, Illinois |
| Authorized Official Name and Position | Caitlin Chandran (NURSE PRACTITIONER) |
| Authorized Official Contact | 3038954252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caitlin Chandran Msn, Aprn-fpa, Fnp-bc Pllc 116 West Trl Grayslake IL 60030-1555 Ph: (303) 895-4252 | Caitlin Chandran Msn, Aprn-fpa, Fnp-bc Pllc 102 Center St Grayslake IL 60030-1533 Ph: (303) 895-4252 |
| NPI Number | 1316661036 |
|---|---|
| Provider Enumeration Date | 09/27/2022 |
| Last Update Date | 09/27/2022 |
| Medicare PECOS PAC ID | 4880062595 |
|---|---|
| Medicare Enrollment ID | O20221129003335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316661036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Caitlin M Chandran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821404336 PECOS PAC ID: 0042432783 Enrollment ID: I20141112001304 |
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