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NPI Code Detail

MEDICARE: DR. VIVEK CHAUDHRY M.D.

MEDICARE: DR. VIVEK CHAUDHRY 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
1208600000XSurgery Physician036090863IL
2208C00000XColon & Rectal Surgery Physician036090863IL

General Provider Information

NPI Number : 1992754766
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VIVEK CHAUDHRY M.D.
Provider Business Mailing Address
First Line : 200 W ADAMS ST
Second Line : SUITE 225
City : CHICAGO
State : IL
Zip : 60606-5208
Country : US
Telephone Number : 312-704-2885
Fax Number : 312-704-2737
Provider Business Practice Location Address
First Line : 1740 W TAYLOR ST
Second Line : DEPT 3449
City : CHICAGO
State : IL
Zip : 60612-7232
Country : US
Telephone Number : 312-704-2885
Fax Number : 312-704-2737
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2006
Last Update Date : 04/22/2021

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