Chatterjee, Madhumita
Chatterjee, Madhumita is an sole proprietor health care provider with primary practice located at 3024 E Empire St Ste 3A , Bloomington IL 61704-5402. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Chatterjee, Madhumita can be contacted via phone (309) 556-7700.Contact Information
Primary practice address
3024 E Empire St Ste 3A
Bloomington IL 61704-5402
Phone: (309) 556-7700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036092056 | Illinois |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01081107B | Indiana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036092056 | Illinois |
Profile Details
| NPI number | 1679510804 |
|---|---|
| LBN Legal business name | Chatterjee, Madhumita |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 31st, 2006 |
| Last updated | Feb 4th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679510804 | NPPES |
| Illinois | Other | F400191295 | MEDICARE PTAN |
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