Chanda Mendi MDSC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036047008 Issued in IL

Legal business name

CHANDA MENDI MDSC

Practice address

7257 S Jeffery Blvd
Chicago, IL 60649-3014

Phone

(773) 684-0002

NPI assigned

Dec 15, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cherise Elmore

Title

Medical Billing Manager

Phone

(219) 840-2297

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1073978243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7257 S JEFFERY BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606493014",
            "telephone_number": "773-684-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7257 S JEFFERY BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606493014",
            "telephone_number": "773-684-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDA MENDI MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-15",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "ELMORE",
        "authorized_official_first_name": "CHERISE",
        "authorized_official_title_or_position": "MEDICAL BILLING MANAGER",
        "authorized_official_telephone_number": "219-840-2297"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036047008",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036047008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Claire Chancy, CPNP-AC
• Bipan Chand, MD
• Divya Chand, LCSW
• Mumtaj Chand, DO
• Sonia Krishna Chand, LPC
• Agastayya Chandalada, DDS
• Heera Chandani, MA-CCC SLP/L
• Neha Chandani
• Alpa Chandarana, MD
• Chander Vision Group LTD

• Pediatrics Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.