S. Chandra Mouli, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

036-048776 Issued in IL

Practice address

675 W North Ave
Suite 402
Melrose Park, IL 60160-1634

Phone

(708) 681-7888

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• McHenry Radiologists and Imaging Associates SC

  • Diagnostic Radiology Physician
  • McHenry, IL
  • NPI 1083637094

  Diagnostic Radiology

  NPD (past)
• Midwest Clinical Imaging, P.C.

  • Diagnostic Radiology Physician
  • Melrose Park, IL
  • NPI 1417999749

  Diagnostic Radiology

  NPD (past)
• Midwest Institute for Minimally Invasive Therapies

  • Vascular & Interventional Radiology Physician
  • Hinsdale, IL
  • NPI 1578505947

  Diagnostic Radiology

  NPD (past)
• Northeast Radiology Associates, S.C.

  • Radiology Clinic/Center
  • Lake Forest, IL
  • NPI 1033206271
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1306878434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 DEERFIELD RD",
            "address_2": "SUITE 100 PMB 418",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600153241",
            "telephone_number": "708-667-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 W NORTH AVE",
            "address_2": "SUITE 402",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601634",
            "telephone_number": "708-681-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOULI",
        "first_name": "S. CHANDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036-048776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-048776",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmen Nieves Morales, MA
• Marc Anthony Moran
• Ann Moret, R.N. MSN C-CNS
• Teresa Hope Moriarty, PA-C
• Farzad Motamedi, DMD
• Amanda Elisabeth Muench
• Ryan M. Munoz, M.D.
• Stacie I Murhpy, PA-C
• Laura Sofia Murphy Garcia, LCPC
• Narayana Murukurthy, BS

• All providers in Melrose Park, IL
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.