Chandra B Rathod MDSC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

036059328 Issued in IL

Legal business name

CHANDRA B RATHOD MDSC

Practice address

4211 N Cicero Ave
Suite 203
Chicago, IL 60641-1651

Phone

(773) 794-8800

Fax

(773) 794-8830

NPI assigned

Jan 21, 2011

Organization subpart

No

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

Authorized official

Name

Chandra RathodNPI 1710073689

Title

MDSC

Phone

(773) 793-8800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chandra Bhanu Rathod, MD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1710073689
  Medicare reassignment NPD Authorized official
• Sonia Shah, M.D.

  • Allergy & Immunology (Internal Medicine) Physician
  • Chicago, IL
  • NPI 1144407594

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295568000000",
    "number": "1740585736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 N CICERO AVE",
            "address_2": "SUITE 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411650",
            "telephone_number": "773-794-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 N CICERO AVE",
            "address_2": "SUITE 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411651",
            "telephone_number": "773-794-8800",
            "fax_number": "773-794-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDRA B RATHOD MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-21",
        "status": "A",
        "authorized_official_last_name": "RATHOD",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_title_or_position": "MDSC",
        "authorized_official_telephone_number": "773-793-8800"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036059328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Rose Chandler, DNP
• Ryan James Chandler, AMFT
• Shannon E Chandler, DPT
• Stephanie Frances Chandler, MD
• Chandler's Health Emporium Inc
• Anita Chandra-Puri
• Ananya Chandra
• Gopika Chandra, MD, PHD
• Shivam Chandra, DO
• Sonal Chandra, M.D.

• Primary Care Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.