Chunduri, Sandeep

Chunduri, Sandeep is an individual health care provider with primary practice located at 525 E Congress Pkwy Suite 300, Crystal Lake IL 60014-6245. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Chunduri, Sandeep can be contacted via phone (815) 759-9260.

Contact Information

Primary practice address
525 E Congress Pkwy Suite 300 Crystal Lake IL 60014-6245
Phone: (815) 759-9260
Fax: (815) 459-7460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 36110541 Illinois

Profile Details

NPI number 1174740435
LBN Legal business name Chunduri, Sandeep
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Dec 16th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174740435 NPPES
Illinois Other 1275843476 GROUP NPI NUMBER

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