Gur, Sujata Shukla

Gur, Sujata Shukla is an sole proprietor health care provider with primary practice located at 2013 Midwest Rd , Oak Brook IL 60523-1312. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Gur, Sujata Shukla can be contacted via phone (630) 567-7851.

Contact Information

Primary practice address
2013 Midwest Rd Oak Brook IL 60523-1312
Phone: (630) 567-7851
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209006824 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 209006824 Illinois

Profile Details

NPI number 1467633115
LBN Legal business name Gur, Sujata Shukla
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 23rd, 2007
Last updated Feb 9th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467633115 NPPES
Illinois Other IL7391001 MEDICARE PTAN

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