Healthcare Provider Details

I. General information

NPI: 1710187836
Provider Name (Legal Business Name): VINEET KARTIK DANDEKAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2007
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1435 N RANDALL RD STE 202
ELGIN IL
60123-2303
US

IV. Provider business mailing address

29373 NETWORK PL
CHICAGO IL
60673-1293
US

V. Phone/Fax

Practice location:
  • Phone: 847-695-3168
  • Fax: 847-695-4289
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number036.125514
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: