Sandeep Chunduri MD

NPI 1174740435 - Internal Medicine - 207RH0003X

NPI Details
NPI 1174740435
Gender Male
Enumeration Date 04/19/2007
Last Updated 06/21/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
525 E CONGRESS PKWY
SUITE 300
CRYSTAL LAKE IL, 60014-6245, US
Phone (815) 759-9260
Fax (815) 459-7460
Business Location
1800 HOLLISTER DR
SUITE 112
LIBERTYVILLE IL, 60048-5263, US
Phone (847) 367-6781
Fax (847) 367-8008
Toxanomy
Taxonomy Code 207RH0003X
License State Illinois
License Number 36110541
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According to our database, Dr. Sandeep Chunduri MD NPI is 1174740435, taxonomy code is 207RH0003X and license number is 36110541, license state is located at Illinois. Sandeep Chunduri MD physically located at 525 E Congress Pkwy, Crystal Lake IL, 60014-6245. NPI Number Sandeep Chunduri MD has the Individual type.

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1174740435 NPI number is provided on an as is basis without warranty of any kind. 1174740435 is maintained by the National Plan & Provider Enumeration System. The contents of Sandeep Chunduri MD are for informational purposes only.