Individual
SHUBHRA MUKHERJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2211 N OAK PARK AVE, CHICAGO, IL 60707-3392
(773) 385-5463
(773) 385-5488
Mailing address
PO BOX 8500, PHILADELPHIA, PA 19178-8500
(773) 385-5463
(773) 385-5488
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036-102847
IL
208100000X
Physical Medicine & Rehabilitation Physician
036-102847
IL
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
036-102847
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036102847
—
IL
05
—
036102847-2
—
IL
05
—
036102847-3
—
IL
Enumeration date
09/16/2005
Last updated
03/10/2025
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