Individual
DR. SHEPHALI C KATIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2300 N CHILDRENS PLZ, OUTREACH PHYSICIAN SERVICES, CHICAGO, IL 60614-3363
(773) 880-6903
(773) 880-3068
Mailing address
2300 N CHILDRENS PLZ, BOX 152, CHICAGO, IL 60614-3363
(773) 880-6903
(773) 880-3068
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01094668A
IN
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
036-100782
IL
208M00000X
Hospitalist Physician
01094668A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036100782
—
IL
Enumeration date
09/08/2005
Last updated
01/29/2025
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