Chandra, Vineeta
Chandra, Vineeta is an individual health care provider with primary practice located at 2905 North Main St Community Health Improvement Center, Decatur IL 62526. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Chandra, Vineeta can be contacted via phone (217) 877-9117.Contact Information
Primary practice address
2905 North Main St Community Health Improvement Center
Decatur IL 62526
Phone: (217) 877-9117
Fax: (217) 877-3077
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036111224 | Illinois |
Profile Details
| NPI number | 1356316541 |
|---|---|
| LBN Legal business name | Chandra, Vineeta |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Sep 8th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356316541 | NPPES |
| Illinois | MEDICAID | 036111224 |
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