OrganizationActive
Chandra B Rathod Mdsc
NPI 1740585736 · Primary Care Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1740585736
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Chandra Rathod, Mdsc(773) 793-8800
- License
- 036059328 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4211 N Cicero Ave
Suite 203
Chicago, IL 60641-1651
Phone: (773) 794-8800
Fax: (773) 794-8830
Approximate (ZIP-level) locationGet directions
Mailing address
4211 N Cicero Ave
Chicago, IL 60641-1650
Registry dates
- Enumerated
- 2011-01-21
- Last updated
- 2011-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.