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Organization

SHUKLA CLINICAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUJATA SHUKLA GUR MSN, APN/CNP (MANAGING PARTNER)
(630) 495-0220
Entity
Organization

Contact information

Practice address
2013 MIDWEST RD, OAK BROOK, IL 60523-1312
(630) 495-0220
Mailing address
2013 MIDWEST RD, OAK BROOK, IL 60523-1312
(630) 495-0220

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
041.316119
IL

Other

Enumeration date
07/23/2012
Last updated
08/30/2012
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