Mukherjee, Shubhra
Mukherjee, Shubhra is an individual health care provider with primary practice located at 2211 N Oak Park Ave , Chicago IL 60707-3392. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine. Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine is her primary health care specialty. Mukherjee, Shubhra can be contacted via phone (773) 385-5463.Contact Information
Primary practice address
2211 N Oak Park Ave
Chicago IL 60707-3392
Phone: (773) 385-5463
Fax: (773) 385-5488
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 036-102847 | Illinois |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036-102847 | Illinois |
Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine | 2081P0010X | 036-102847 | Illinois |
Profile Details
NPI number | 1790770659 |
---|---|
LBN Legal business name | Mukherjee, Shubhra |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 16th, 2005 |
Last updated | Sep 1st, 2022 - about 2 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 | 1790770659 | NPPES |
Illinois | MEDICAID | 036102847-2 | |
Illinois | MEDICAID | 036102847 | |
Illinois | MEDICAID | 036102847-3 |
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