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SHAKU CHHABRIA NEUROLOGICAL SERVICES SC NPI 1184636805


NPI Information

NPI: 1184636805
Provider Name: SHAKU CHHABRIA NEUROLOGICAL SERVICES SC

Other Name: CHHABRIA NEUROLOGICAL SERVICES

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
222 S GREENLEAF ST STE 111
GURNEE, IL
ZIP 60031
Phone: (847) 360-0044
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SHAKU CHHABRIA NEUROLOGICAL SERVICES SC is a neurology psychiatry neurology in Gurnee, IL. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. SHAKU CHHABRIA NEUROLOGICAL SERVICES SC NPI is 1184636805. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Chhabria Neurological Services.

The provider's business location address is:

222 S GREENLEAF ST STE 111
GURNEE, IL
ZIP 60031-705
Phone: (847) 360-0044
Fax: (847) 360-8804

The provider's authorized official is Shakuntala Chhabria .
The authorized official title is Owner and has the following contact phone number (847) 360-0044.

The enumeration date for this NPI number is 8/12/2006 and was last updated on 7/8/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology036053149ILLINOISNo
22084N0400XPsychiatry & NeurologyNeurology036053149ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036053149MEDICAIDILLINOIS
2DE1546OTHERILLINOISRAIL ROAD MEDICARE
34900918OTHERILLINOISBLUE CROSS/SHIELD
4212033MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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