| Sandeep Chandra Md Sc | |
|
7903 Lockwood Ave Burbank IL 60459-2115 | |
| (708) 422-9577 | |
| (708) 422-8101 |
| Full Name | Sandeep Chandra Md Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7903 Lockwood Ave, Burbank, Illinois |
| Authorized Official Name and Position | Sandeep Chandra (PRESIDENT/OWNER) |
| Authorized Official Contact | 7084229577 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandeep Chandra Md Sc 7903 Lockwood Ave Burbank IL 60459-2115 Ph: (708) 422-9577 | Sandeep Chandra Md Sc 7903 Lockwood Ave Burbank IL 60459-2115 Ph: (708) 422-9577 |
| NPI Number | 1407897218 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 01/21/2011 |
| Medicare PECOS PAC ID | 7719934611 |
|---|---|
| Medicare Enrollment ID | O20050404000162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407897218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Madhulika Saxena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972547990 PECOS PAC ID: 7719934587 Enrollment ID: I20050404000808 |
| Provider Name | Sandeep Chandra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063453876 PECOS PAC ID: 2466409222 Enrollment ID: I20050405000013 |
| Provider Name | Theresa Ann Dolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003294620 PECOS PAC ID: 1557673605 Enrollment ID: I20150702001928 |
| Provider Name | Catherine Lara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841649480 PECOS PAC ID: 5799076519 Enrollment ID: I20160624000538 |
| Provider Name | Desiree Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598267866 PECOS PAC ID: 3375805864 Enrollment ID: I20180321000997 |
| Provider Name | Dominique Michelle Eaves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659860781 PECOS PAC ID: 9436404902 Enrollment ID: I20180625002283 |
| Provider Name | Oyeyemi Anthony Shodiya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841946944 PECOS PAC ID: 2961882527 Enrollment ID: I20220629002129 |
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