RAKA CHINDAVONG

CHICAGO, IL
NPI1164272019
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: IL  125.084061)
Enumeration Date2024-03-25
Last Update Date2024-06-18
Business Address
RAKA CHINDAVONG
836 W WELLINGTON AVE
CHICAGO, IL 60657-5147
Phone number: 773-296-5187
Mailing Address
RAKA CHINDAVONG
3159 S NORMAL AVE UNIT 1F
CHICAGO, IL 60616-3109
Phone number: 405-922-1655
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UC ANESTHESIA LLC