Provider Demographics
NPI:1184874620
Name:CHAUDHRY, ALYAS P (MD)
Entity type:Individual
Prefix:DR
First Name:ALYAS
Middle Name:P
Last Name:CHAUDHRY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2650 WARRENVILLE RD.
Mailing Address - Street 2:STE. 280
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60575
Mailing Address - Country:US
Mailing Address - Phone:630-324-7900
Mailing Address - Fax:630-271-1813
Practice Address - Street 1:2650 WARRENVILLE RD.
Practice Address - Street 2:STE. 280
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60575
Practice Address - Country:US
Practice Address - Phone:630-324-7900
Practice Address - Fax:630-271-1813
Is Sole Proprietor?:No
Enumeration Date:2008-09-21
Last Update Date:2020-02-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036.118422208G00000X
IL036118422208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL202172004Medicare PIN