| Chandni Duphare, MD | |
| 2015 N Main St, Wheaton, IL 60187-3190 | |
| (630) 668-8250 | |
| (630) 668-8916 | 
| Full Name | Chandni Duphare | 
|---|---|
| Gender | Female | 
| Speciality | Ophthalmology - Uveitis And Ocular Inflammatory Disease | 
| Location | 2015 N Main St, Wheaton, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1922568583 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207WX0108X | Ophthalmology - Uveitis And Ocular Inflammatory Disease | 036171377 (Illinois) | Primary | 
| 207W00000X | Ophthalmology | 036171377 (Illinois) | Secondary | 
| Entity Name | The Cleveland Clinic Foundation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Chandni Duphare, MD 2015 N Main St, Wheaton, IL 60187-3190 Ph: (630) 668-8250 | Chandni Duphare, MD 2015 N Main St, Wheaton, IL 60187-3190 Ph: (630) 668-8250 | 
| Dr. Susan J Anderson-nelson, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2015 N Main St, Wheaton, IL 60187 Phone: 630-668-8250 Fax: 630-668-8916 | |
| Frini A. Makadia, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2015 N Main St, Wheaton, IL 60187 Phone: 630-668-8250 Fax: 630-668-9561 | |
| Dr. Gregory Lucien Fenton, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2015 N Main St, Wheaton, IL 60187 Phone: 630-668-8250 Fax: 630-668-8916 | |
| Jeremy B Wingard, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2015 N Main St, Wheaton, IL 60187 Phone: 630-668-8250 Fax: 630-668-8916 | |
| Dr. Carolyn S Oesterle, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2015 N Main St, Wheaton, IL 60187 Phone: 630-668-8250 Fax: 630-668-8916 | |
| Noha S Ekdawi, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2015 N Main St, Wheaton, IL 60187 Phone: 630-668-8250 Fax: 630-668-8916 | |
| Dr. Richard G Gieser, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2015 N Main St, Wheaton, IL 60187 Phone: 630-668-8250 Fax: 630-668-8916 |