Individual
PUJA MEHROTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
450 W HIGHWAY 22, BARRINGTON, IL 60010-1919
(847) 842-4120
(847) 842-4421
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-117144
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036117144 1
—
IL
Enumeration date
06/01/2007
Last updated
08/09/2022
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