Most Relevant Information
Provider Data
| NPI Number: | 1003546847 |
| Provider Name: | CHATHUSHKI BANDARA DO |
| Entity Type: | Individual |
| Taxonomy Code: | 207P00000X |
| Specialty: | Emergency Medicine |
| License Number: | 125.080816 |
Most Important Dates
| Enumeration Date: | 06/14/2022 |
| Last Updated: | 06/15/2022 |
Provider Practice Location
5140 N CALIFORNIA AVE
CHICAGO
IL
606253645
Practice Location Phone/Fax
| Phone: | 7738788200 |
| Fax: |
Provider Mailing Location
9300 SUTTON PL
TINLEY PARK
IL
604877303
Provider Mailing Phone/Fax
| Phone: | 7083593660 |
| Fax: |