Provider Demographics
NPI:1316118110
Name:TEJVIR NANDA MD SC
Entity type:Organization
Organization Name:TEJVIR NANDA MD SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TEJVIR
Authorized Official - Middle Name:S
Authorized Official - Last Name:NANDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-263-0099
Mailing Address - Street 1:903 COMMERCE DR
Mailing Address - Street 2:SUITE 333
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1969
Mailing Address - Country:US
Mailing Address - Phone:630-571-6770
Mailing Address - Fax:630-571-8810
Practice Address - Street 1:30 S MICHIGAN AVE
Practice Address - Street 2:SUITE 500
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60603-3211
Practice Address - Country:US
Practice Address - Phone:312-263-0099
Practice Address - Fax:312-977-1188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-19
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty