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Chandra Prasad Paneru

Pediatrics, Neonatal-Perinatal Medicine in Chicago, IL. Individual provider (NPI-1).

NPI number1649001074
StatusActive
Last updated in NPPESAug 8, 2024

Details

NPI
1649001074
Entity type
Individual (NPI-1)
Name
Chandra Prasad Paneru
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 8, 2024
Certification date
Aug 8, 2024
Last updated
Aug 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080N0001X Pediatrics, Neonatal-Perinatal Medicine125083120ILYes

Practice location

1901 W Harrison St Fl 4
Chicago, IL 60612-3714

Phone 312-864-6000

Mailing address

2050 W Ogden Ave Apt Unit910
Chicago, IL 60612-7068

Phone 312-479-1905

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