Shrivastava, Archana

Shrivastava, Archana is an individual health care provider with primary practice located at 25 N Winfield Rd , Winfield IL 60190-1295. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Shrivastava, Archana can be contacted via phone (630) 933-4056.

Contact Information

Primary practice address
25 N Winfield Rd Winfield IL 60190-1295
Phone: (630) 933-4056
Fax: (630) 933-4057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036-118304 Illinois

Profile Details

NPI number 1932387081
LBN Legal business name Shrivastava, Archana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2008
Last updated Apr 9th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932387081 NPPES
Illinois Other 206147211 MEDICARE PTAN (INDIVIDUAL)
Illinois MEDICAID 036118304 MEDICARE PTAN (INDIVIDUAL)
Illinois Other P01144141 MEDICARE PTAN (INDIVIDUAL)

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