Provider Demographics
NPI:1083337844
Name:CHANDOK, NEIL SINGH (DMD)
Entity type:Individual
Prefix:DR
First Name:NEIL
Middle Name:SINGH
Last Name:CHANDOK
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3478 N BROADWAY ST APT 514
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-3156
Mailing Address - Country:US
Mailing Address - Phone:262-994-3441
Mailing Address - Fax:
Practice Address - Street 1:1300 W LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53215-3127
Practice Address - Country:US
Practice Address - Phone:262-994-3441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-26
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.0336931223X0400X
WI6001432-151223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL019.033693OtherILLINOIS DENTAL LICENSE
WI600143215OtherWISCONSIN DENTAL LICENSE