Chhabria, Shakuntala
Chhabria, Shakuntala is an individual health care provider with primary practice located at 222S Greenleaf St 111 , Gurnee IL 60031-5705. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as her primary health care specialty. Chhabria, Shakuntala can be contacted via phone (847) 360-0044.Contact Information
Primary practice address
222S Greenleaf St 111
Gurnee IL 60031-5705
Phone: (847) 360-0044
Fax: (847) 360-8804
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 036053149 | Illinois |
Profile Details
NPI number | 1992856678 |
---|---|
LBN Legal business name | Chhabria, Shakuntala |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 16th, 2007 |
Last updated | Jul 23rd, 2015 - about 9 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 | 1992856678 | NPPES |
Illinois | MEDICAID | 036053149 | |
Illinois | Other | P00275220 | |
Illinois | Other | 4900918 |
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