Chandra, Vineeta

Chandra, Vineeta is an individual health care provider with primary practice located at 2905 North Main St Community Health Improvement Center, Decatur IL 62526. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Chandra, Vineeta can be contacted via phone (217) 877-9117.

Contact Information

Primary practice address
2905 North Main St Community Health Improvement Center Decatur IL 62526
Fax: (217) 877-3077
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036111224 Illinois

Profile Details

NPI number 1356316541
LBN Legal business name Chandra, Vineeta
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Sep 8th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356316541 NPPES
Illinois MEDICAID 036111224

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