Provider Demographics
NPI:1356310338
Name:CHAUDHARY, KAMRAN A (MD)
Entity Type:Individual
Prefix:DR
First Name:KAMRAN
Middle Name:A
Last Name:CHAUDHARY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:80 W. HILLCREST BLVD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60195-3197
Mailing Address - Country:US
Mailing Address - Phone:630-339-5300
Mailing Address - Fax:630-339-5305
Practice Address - Street 1:80 W. HILLCREST BLVD
Practice Address - Street 2:SUITE 208
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60195-3197
Practice Address - Country:US
Practice Address - Phone:630-339-5300
Practice Address - Fax:630-339-5305
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036106616207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILI37911Medicare UPIN
IL1356310338Medicare PIN