Most Relevant Information
Provider Data
| NPI Number: | 1003496449 |
| Provider Name: | VIGNESH CHIDAMBARAM MD, MPH |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/09/2021 |
| Last Updated: | 08/05/2024 |
Provider Practice Location
1969 W OGDEN AVE
CHICAGO
IL
606123765
Practice Location Phone/Fax
| Phone: | 3128646000 |
| Fax: |
Provider Mailing Location
106 S RIDGELAND AVE APT 402
OAK PARK
IL
603024617
Provider Mailing Phone/Fax
| Phone: | 4438549545 |
| Fax: |