Individual provider Active NPI

Paragini K Chandarana, M.D.

  • Psychiatry Physician
  • Lemont, IL
National Provider Identifier
1639189285
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036046440 Issued in IL
Practice address
15505 E 127TH St
Lemont, IL 60439-4433
Phone
(708) 313-6878
Fax
(708) 887-5532
NPI assigned
Aug 8, 2006
Last updated
May 11, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 036-046440 IL
Psychiatry Physician 2084P0800X 036046440 IL Primary

Addresses

Primary practice location

15505 E 127TH St
Lemont, IL 60439-4433

Mailing address

21540 W Empress LN
Plainfield, IL 60544-6316
Phone (708) 313-6878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031212000224 IL Practitioner - Psychiatry 2062318694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Conventions Psychiatry and Counseling PCGroup PAC ID 0143113027, 17 clinicians

Practice addresses (Care Compare)

8540 S Harlem Ave
Bridgeview, IL 60455-1778
Phone (708) 598-2605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-046440ILMDSpecialist
036046440ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conventions Psychiatry & Counseling, P.C. Psychiatry CurrentSince Apr 6, 2013 Accepting new patients
Oak Forest Psychological Service Psychiatry Past Accepting new patients
Premier Behavioral Health Services, P.C. Past Accepting new patients

Locations

8540 S Harlem Ave
Bridgeview, IL 60455
Phone (708) 594-5440

4300 Weaver Pkwy
Ste 100A
Warrenville, IL 60555
Phone (630) 303-7739

928 Joliet St
West Chicago, IL 60185
Phone (630) 231-9292

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1639189285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21540 W EMPRESS LN",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605446316",
            "telephone_number": "708-313-6878",
            "fax_number": "708-887-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15505 E 127TH ST",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604394433",
            "telephone_number": "708-313-6878",
            "fax_number": "708-887-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDARANA",
        "first_name": "PARAGINI",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036-046440",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036046440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemont, IL

Sources for this page

Verify at the official NPI Registry.