Mukesh Chaudhry, M.D.
Family Medicine in Carbondale, IL. Individual provider (NPI-1).
NPI number1508866559
StatusActive
Last updated in NPPESJan 11, 2011
Details
- NPI
- 1508866559
- Entity type
- Individual (NPI-1)
- Name
- Mukesh Chaudhry
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 29, 2005
- Last updated
- Jan 11, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036-107111 | IL | Yes |
Practice location
1175 Cedar CtCarbondale, IL 62901-5333
Phone 618-549-0300 · Fax 618-549-0600
Mailing address
190 High Forest DrCarbondale, IL 62903-8245
Phone 618-549-0300
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