Provider Demographics
NPI:1770992257
Name:CHIRANAND, DUANGCHAI (MD)
Entity type:Individual
Prefix:
First Name:DUANGCHAI
Middle Name:
Last Name:CHIRANAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11301 BROOK CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-4474
Mailing Address - Country:US
Mailing Address - Phone:630-660-4031
Mailing Address - Fax:
Practice Address - Street 1:11301 BROOK CROSSING DR
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-4474
Practice Address - Country:US
Practice Address - Phone:630-660-4031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-08
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-052748174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist