Individual
SHITAL R UGHREJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 RANDALL RD, GENEVA, IL 60134-4200
(630) 933-4700
(630) 933-4427
Mailing address
300 RANDALL RD, GENEVA, IL 60134-4200
(630) 933-4700
(630) 933-4427
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036133005
IL
207R00000X
Internal Medicine Physician
125058074
IL
208M00000X
Hospitalist Physician
Primary
036133005
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036133005
—
IL
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
F400251651
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
08/04/2010
Last updated
03/17/2018
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