Individual
NIDHI KUKREJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2525 S MICHIGAN AVE, B-522, CHICAGO, IL 60616-2333
(312) 567-6691
(312) 567-6156
Mailing address
2525 S MICHIGAN AVE, B-522, CHICAGO, IL 60616-2333
(312) 567-6691
(312) 567-6156
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036120263
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621679
BCBSIL
IL
01
—
036120263
IL
IL
05
—
036120263 01
—
IL
01
—
950150
MEDICARE GROUP #
IL
Enumeration date
07/24/2008
Last updated
07/24/2008
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