Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 036.150155 | IL |
NPI | 1396062253 |
---|---|
Provider Name | Dr. Akhil Chawla |
First Address | Warrenville, IL 60555-3269 |
Second Address | Warrenville, IL 60555-3269 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2010 |
Last Update Date | 16/08/2019 |