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NPI Code Detail

MEDICARE: DUANGCHAI CHIRANAND M.D.

MEDICARE:   DUANGCHAI  CHIRANAND  M.D.
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
1174400000XSpecialist036-052748IL

General Provider Information

NPI Number : 1770992257
Entity Type Code : Individual
Provider Name (Legal Business Name) : DUANGCHAI CHIRANAND M.D.
Provider Business Mailing Address
First Line : 11301 BROOK CROSSING DR
Second Line :
City : ORLAND PARK
State : IL
Zip : 60467-4474
Country : US
Telephone Number : 630-660-4031
Fax Number :
Provider Business Practice Location Address
First Line : 11301 BROOK CROSSING DR
Second Line :
City : ORLAND PARK
State : IL
Zip : 60467-4474
Country : US
Telephone Number : 630-660-4031
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2014
Last Update Date : 08/08/2014

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Directions to “ DUANGCHAI CHIRANAND M.D.” Practice Location

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