DR. S. CHANDRA MOULI


Address: 675 W North Ave, Suite 402, Melrose Park, IL 60160-1634
Phone: 7086817888

DR. S. CHANDRA MOULI (NPI# 1306878434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306878434
Entity Type Individual
Full Name DR. S. CHANDRA MOULI
Credential M.D.
Practice Address 675 W North Ave
Suite 402
Melrose Park
IL 60160-1634
Mailing Address 655 Deerfield Rd
Suite 100 Pmb 418
Deerfield
IL 60015-3241
Practice Telephone 7086817888
Mailing Telephone 7086674333
Enumeration Date 2006-07-07
Last Update Date 2008-09-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
036-048776 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036-048776 05

Office Location

Street Address 675 W NORTH AVE
SUITE 402
City MELROSE PARK
State IL
Zip Code 60160-1634

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235134727 Brad Anstadt Ophthalmology 675 W North Ave, Ste 107, Melrose Park, IL 60160-1622 2005-06-20
1578920484 Dupage Medical Group, Ltd. Prosthetic/Orthotic Supplier 675 W North Ave, Melrose Park, IL 60160-1634 2016-01-22
1356733034 Jessica Lynn Dye Physician Assistant 675 W North Ave, Suite 607, Melrose Park, IL 60160-1634 2015-03-04
1861893463 Paige D Formsma Audiologist 675 W North Ave, Suite 110, Melrose Park, IL 60160-1634 2014-09-15
1083014047 Jennifer Morales Psychologist 675 W North Ave, Ste 306, Melrose Park, IL 60160-1634 2014-08-27
1538577754 Elizabeth Bojarskyj Pharmacist 675 W North Ave, Melrose Park, IL 60160-1634 2014-07-31
1780091538 Bryan David Erce Dentist 675 W North Ave, Suite 307, Melrose Park, IL 60160-1634 2014-07-14
1740619246 Merissa Mann Physician Assistant 675 W North Ave, Suite 402, Melrose Park, IL 60160-1634 2013-11-05
1770916074 Yonatan Rosenblum Psychologist 675 W North Ave, Suite 306, Melrose Park, IL 60160-1634 2013-08-10
1538509666 Hai Solomon M.d.s.c. Obstetrics & Gynecology 675 W North Ave, Suite 512, Melrose Park, IL 60160-1634 2013-07-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295217651 Kairsten Thies Registered Nurse 1225 W. Lake St., Melrose Park, IL 60160 2018-09-02
1780195701 Julia Mccann-khludenev Nurse Practitioner 153 1/2 Broadway Ave., Melrose Park, IL 60160 2017-10-17
1629595749 Katarzyna Teresa Buksa Speech-Language Pathologist 906 Walton St., Melrose Park, IL 60160 2017-08-29
1972955102 Erika Lazaro Counselor 1414 Main Street, Melrose Park, IL 60160 2016-07-12
1811344096 Margaret Ann Kress Nurse Practitioner 675 W North Ave Ste 402, Melrose Park, IL 60160 2016-05-18
1942578703 Rachna Shah Md Sc Internal Medicine 675 West North Ave, #310, Melrose Park, IL 60160 2011-12-08
1033486741 Stephanie Lamonica Pharmacist 850 West North Ave, T0837, Melrose Park, IL 60160 2011-11-23
1285913384 Melinda Vazquez Social Worker 1414 Main, Melrose Park, IL 60160 2011-08-08
1629373212 Advanced Wellness Clinics Internal Medicine 1835 N Broadway Avenue, Suite 104, Melrose Park, IL 60160 2011-01-13
1508188525 Guillermo Fernando Mora Family Medicine 1111 W Superior, Suite #306, Melrose Park, IL 60160 2010-02-17
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144538299 Arjun Krishan Sobti Radiology 675 W North Ave, Suite 402, Melrose Park, IL 60160-1634 2010-09-22
1316098387 Stephanie Rosania Radiology 701 W North Ave, Melrose Park, IL 60160-1612 2007-01-16
1578505947 Midwest Institute for Minimally Invasive Therapies Radiology 675 W North Ave, Suite 402, Melrose Park, IL 60160-1634 2006-06-12
1417999749 Midwest Clinical Imaging, P.C. Radiology 675 W North Ave, Suite 402, Melrose Park, IL 60160-1634 2006-06-12
1275572331 Aakash B Ahuja Radiology 675 W North Ave, Suite 402, Melrose Park, IL 60160-1634 2006-06-05
1306890728 Evan Samett Radiology 8319 W North Ave, Melrose Park, IL 60160-1605 2006-05-20
1316948565 Paramjit S. Chopra Radiology 675 W North Ave, Suite 402, Melrose Park, IL 60160-1634 2005-08-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376196220 Parvathamma Imaging Services, LLC Radiology 7431 S East End Ave Ste 2, Chicago, IL 60649-3611 2019-07-19
1730652017 Diaspora Radiology, Sc Radiology 2602 Mulberry Ln, Northbrook, IL 60062-5937 2019-01-09
1225516842 Tyler Jonathan Hinkel Radiology 33 W Ontario St Apt 46f, Chicago, IL 60654 2018-08-06
1043796543 Quantum Medical Radiology of California, P.C. Radiology 374 W Seminary Ave, Wheaton, IL 60187-5002 2018-07-17
1215429501 The Open Mri Center Radiology 3123 Williamson County Pkwy, Marion, IL 62959-5235 2018-06-01
1649769746 Envision Medical Imaging, LLC Radiology 915 National Pkwy Ste 915-20, Schaumburg, IL 60173-5160 2018-05-03
1831687250 Michael Patrick Murphy Radiology 807 Davis St. Unit 707, Evanston, IL 60201 2018-05-01
1366976631 Ali Mostafa Serhal Radiology 240 E. Huron St, Suite 1-203, Chicago, IL 60617 2017-04-13
1710427737 Dorothea A Nazos Radiology 1810 Parkside Dr, Shorewood, IL 60404-0684 2017-02-24
1194275941 Florida United Radiology, Lc Radiology 7 Pear Tree Ct, Charleston, IL 61920-4415 2016-10-05
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Competitor

Search similar providers

City MELROSE PARK
Zip Code 60160

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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