Satish Jacob Chacko M.D.

NPI 1104147560 - Internal Medicine - 207R00000X

NPI Details
NPI 1104147560
Gender Male
Enumeration Date 06/18/2010
Last Updated 02/18/2014
Entity Type Individual
Active Over 6 years ago
Practice Location
840 S WOOD ST
M/C 715
CHICAGO IL, 60612-4325, US
Phone (312) 996-0856
Fax
Business Location
2417 N BURLING ST
UNIT 2
CHICAGO IL, 60614-2615, US
Phone (571) 214-0271
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 125058582
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According to our database, Dr. Satish Jacob Chacko M.D. NPI is 1104147560, taxonomy code is 207R00000X and license number is 125058582, license state is located at Illinois. Satish Jacob Chacko M.D. physically located at 840 S Wood St, Chicago IL, 60612-4325. NPI Number Satish Jacob Chacko M.D. has the Individual type.

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1104147560 NPI number is provided on an as is basis without warranty of any kind. 1104147560 is maintained by the National Plan & Provider Enumeration System. The contents of Satish Jacob Chacko M.D. are for informational purposes only.