Organization
SHAKU CHHABRIA NEUROLOGICAL SERVICES SC
Active
Other names
Chhabria Neurological Services
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKUNTALA CHHABRIA MD (OWNER)
(847) 360-0044
Entity
Organization
Contact information
Practice address
222 S GREENLEAF ST STE 111, GURNEE, IL 60031-5705
(847) 360-0044
(847) 360-8804
Mailing address
222 S GREENLEAF ST STE 111, GURNEE, IL 60031-5705
(847) 360-0044
(847) 360-8804
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036053149
IL
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
036053149
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036053149
—
IL
01
—
4900918
BLUE CROSS/SHIELD
IL
01
—
DE1546
RAIL ROAD MEDICARE
IL
Enumeration date
08/12/2006
Last updated
07/08/2011
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