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Nisha Chandran, MD
Pediatrics Physician in Rockford, Illinois
NPI 1649299967

Nisha Chandran is a Pediatrics Physician based in Rockford, IL. Nisha Chandran practices in Rockford, IL and has the professional credentials of MD. The NPI Number for Nisha Chandran is 1649299967 and holds a License No. 036114562 (Illinois).

The current practice location address for Nisha Chandran is 621 Roxbury Rd, Rockford, IL and can be reached out via phone at 815-397-3350 and via fax at 815-227-2992.

Location: 621 Roxbury Rd, Rockford, IL, 61107-5077
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649299967
Provider Name
Nisha Chandran
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
621 Roxbury Rd, Rockford, IL, 61107-5077
Phone Number
815-397-3350
Fax Number
815-227-2992
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05632081 01 IL BLUE CROSS BLUE SHIELD
036114562 05 IL
07100059 01 IL IL HEALTH CONNECT
institution
Provider Business Practice Location Address Details
Address
621 Roxbury Rd
City
Rockford
State
Illinois
Zip
61107-5077
Phone Number
815-397-3350
Fax Number
815-227-2992
person
Provider Business Mailing Address Details
Address
621 Roxbury Rd
City
Rockford
State
Illinois
Zip
61107-5077
Phone Number
815-397-3350
Fax Number
815-227-2992
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
036114562 (Illinois)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
036114562 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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