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NPI Code Detail

MEDICARE: CHAKRA WELLNESS AND PALLIATIVE CARE PC

MEDICARE: CHAKRA WELLNESS AND PALLIATIVE CARE PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QH0002XHospice and Palliative Medicine (Family Medicine) Physician

General Provider Information

NPI Number : 1811572951
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHAKRA WELLNESS AND PALLIATIVE CARE PC
Provider Business Mailing Address
First Line : 7830 BRAELOCH CT
Second Line :
City : ORLAND PARK
State : IL
Zip : 60462-5094
Country : US
Telephone Number : 219-663-2793
Fax Number :
Provider Business Practice Location Address
First Line : 1275 E NORTH ST
Second Line :
City : CROWN POINT
State : IN
Zip : 46307-3538
Country : US
Telephone Number : 219-663-2793
Fax Number :
Authorized Official
Title or Position : OWNER
Name : RAKESH PARIKH
Credential : MD
Telephone Number : 219-775-9500
Provider Enumeration Date : 03/10/2021
Last Update Date : 04/07/2022

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