Sudarsana Chakrabarti MD

NPI 1104096940 - Internal Medicine - 207RC0000X

NPI Details
NPI 1104096940
Gender Female
Enumeration Date 03/07/2008
Last Updated 12/09/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
396 REMINGTON BLVD
SUITE 140
BOLINGBROOK IL, 60440-4302, US
Phone (630) 312-3005
Fax (815) 741-3047
Business Location
113 CIRCLE RIDGE DR
BURR RIDGE IL, 60527-8380, US
Phone (847) 363-8539
Fax
Toxanomy
Taxonomy Code 207RC0000X
License State Illinois
License Number 036119041
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According to our database, Dr. Sudarsana Chakrabarti MD NPI is 1104096940, taxonomy code is 207RC0000X and license number is 036119041, license state is located at Illinois. Sudarsana Chakrabarti MD physically located at 396 Remington Blvd, Bolingbrook IL, 60440-4302. NPI Number Sudarsana Chakrabarti MD has the Individual type.

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1104096940 NPI number is provided on an as is basis without warranty of any kind. 1104096940 is maintained by the National Plan & Provider Enumeration System. The contents of Sudarsana Chakrabarti MD are for informational purposes only.