Individual
MADHUMITA CHATTERJEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3024 E EMPIRE ST STE 3A, BLOOMINGTON, IL 61704-5402
(309) 556-7700
Mailing address
611 W. PARK ST, FAPC, URBANA, IL 61801
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036092056
IL
207Q00000X
Family Medicine Physician
01081107B
IN
207Q00000X
Family Medicine Physician
Primary
036092056
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F400191295
MEDICARE PTAN
IL
Enumeration date
05/31/2006
Last updated
08/19/2025
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