NPI 1194120568

Sivashankar Chandrasekaran

Practitioner Surgical Assistant Westmont, IL

Practice location

Address: 1010 Executive Dr Suite 250, Westmont, IL 60559-6135
Phone: (630) 920-2350
Fax: (630) 794-8662
Mailing address: 550 W Ogden Ave, Hinsdale, IL 60521-3186

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 238000428 (IL)

Other Specialist/Technologist, Other providers in Illinois →

Registry record

NPI: 1194120568
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Oct 2014
Record last updated: 28 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.