Individual
DR. ROOP REKHA SHIVPURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.,
Contact information
Practice address
2050 LARKIN AVE, ELGIN, IL 60123-5888
(847) 697-2500
(847) 697-2565
Mailing address
2050 LARKIN AVE, #100, ELGIN, IL 60123-4405
(847) 697-2500
(847) 697-2565
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36059029
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4500577
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/30/2005
Last updated
09/05/2007
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