| Chanda Mendi Mdsc | |
|
7257 S Jeffery Blvd Chicago IL 60649-3014 | |
| (773) 684-0002 | |
| Not Available |
| Full Name | Chanda Mendi Mdsc |
|---|---|
| Speciality | Pediatrics |
| Location | 7257 S Jeffery Blvd, Chicago, Illinois |
| Authorized Official Name and Position | Cherise Elmore (MEDICAL BILLING MANAGER) |
| Authorized Official Contact | 2198402297 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chanda Mendi Mdsc 7257 S Jeffery Blvd Chicago IL 60649-3014 Ph: (773) 684-0002 | Chanda Mendi Mdsc 7257 S Jeffery Blvd Chicago IL 60649-3014 Ph: (773) 684-0002 |
| NPI Number | 1073978243 |
|---|---|
| Provider Enumeration Date | 12/15/2015 |
| Last Update Date | 12/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073978243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036047008 (Illinois) | Secondary |
| 208000000X | Pediatrics | 036047008 (Illinois) | Primary |
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