| Doctor Name: | DR. SUDARSANA CHAKRABARTI |
| NPI Number: | 1104096940 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 036119041 |
| Business Practice Address: | 396 Remington Blvd Suite 140 Bolingbrook, IL - 604404302 |
| Business Phone Number: | 6303123005 |
| Business Fax Number: | 8157413047 |
| Mailing Address: | 113 Circle Ridge Dr, BURR RIDGE |
| State: | IL |
| Postal Code: | 605278380 |
| Phone Number: | 8473638539 |
| Fax Number: | |
| NPI Enumeration Date: | 03/07/2008 |
| NPI Last Update Date: | 12/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RC0000X |
| License Number: | 036119041 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Cardiovascular Disease |
| Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |