SHAKU CHHABRIA NEUROLOGICAL SERVICES SC


Address: 222 S Greenleaf St Ste 111, Gurnee, IL 60031-5705
Phone: 8473600044

SHAKU CHHABRIA NEUROLOGICAL SERVICES SC (NPI# 1184636805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184636805
Entity Type Organization
Organization Name SHAKU CHHABRIA NEUROLOGICAL SERVICES SC
Other Organization Name CHHABRIA NEUROLOGICAL SERVICES
Practice Address 222 S Greenleaf St Ste 111
Gurnee
IL 60031-5705
Practice Telephone 8473600044
Practice Fax Number 8473608804
Mailing Telephone 8473600044
Mailing Fax Number 8473608804
Enumeration Date 2006-08-12
Last Update Date 2011-07-08
Authorized Official Name SHAKUNTALA CHHABRIA (OWNER)
Authorized Official Telephone 8473600044
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084N0402X Psychiatry & Neurology
Specialization: Neurology with Special Qualifications in Child Neurology
036053149 IL Allopathic & Osteopathic Physicians
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
036053149 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL BLUE CROSS/SHIELD 4900918 01
IL 036053149 05
IL RAIL ROAD MEDICARE DE1546 01

Other Provider/Organization Names

Other Name Type Code
Chhabria Neurological Services Other Name - Individual/Organization

Office Location

Street Address 222 S GREENLEAF ST STE 111
City GURNEE
State IL
Zip Code 60031-5705

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881174720 Rockelle Waggoner Behavioral Analyst 489 Tanglewood Dr, Gurnee, IL 60031 2018-08-20
1316434376 Lake County Internal Medicine Assoc LLC Non-Pharmacy Dispensing Site 15 Tower Ct., Ste 190, Gurnee, IL 60031 2018-04-16
1588163364 Advanced Endodontics, PC Dentist 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 2018-02-07
1578081550 Northshore Medical Consultants, Ltd Family Medicine 1425 Hunt Club Rd. #302, Gurnee, IL 60031 2017-08-30
1336678739 Sarah Beth Fugelseth Nurse Practitioner 1445 N Hunt Club Rd Ste 304, Gurnee, IL 60031 2017-06-08
1174079867 Lifecarepros, LLC In Home Supportive Care 223 North Route 21, Gurnee, IL 60031 2016-09-01
1740733195 Ryan Lee Winslow Chiropractor 6021 Washington St, Unit B, Gurnee, IL 60031 2016-08-02
1891129599 Smart Scan Mri, LLC Clinic/Center 350 S. Greenleaf, Suite 401, Gurnee, IL 60031 2013-08-29
1568720076 Yudelca Romano Genetic Counselor, MS 1125 Tri State Parkway, Gurnee, IL 60031 2012-05-03
1558637348 Laura E Novak Social Worker 4212 Old Grand Avenue, Gurnne, IL 60031 2012-03-27
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

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.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689670366 Reuben Robert Weisz Psychiatry & Neurology 1 S Greenleaf St, Ste L, Gurnee, IL 60031-3370 2005-06-27
1629478599 Ganesha Institute of Neurology and Psychiatry Sc Psychiatry & Neurology 30 Tower Ct, Suite C, Gurnee, IL 60031-3322 2014-08-28
1427253483 Reuben R. Weisz, M.d., P.C. Psychiatry & Neurology 1 S Greenleaf St, Suite 'l', Gurnee, IL 60031-3370 2007-06-19
1003801226 Galo Lim Tan Psychiatry & Neurology 135 N Greenleaf St, Ste 212, Gurnee, IL 60031-3393 2005-09-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831714294 Kaitlin E Keenan Psychiatry & Neurology 600 S Paulina St Ste 403aac, Chicago, IL 60612-3806 2020-06-11
1811546484 Glencor Neuromonitoring LLC Psychiatry & Neurology 611 S Milwaukee Ave Ste 8, Libertyville, IL 60048-3256 2019-09-06
1750941639 Ammar Tarabichi Psychiatry & Neurology 751 N Rutledge, Springfield, Il, Springfield, IL 62794 2019-06-13
1972167906 Kazkaz Southwest Neurology S.c. Psychiatry & Neurology 1890 Silver Cross Blvd Ste 320, New Lenox, IL 60451-9610 2019-04-25
1285195594 Niccolo Emanuele Mencacci Psychiatry & Neurology 303 E Chicago Ave # 12-226, Chicago, IL 60611-4296 2019-03-28
1497216865 Juan Pablo Ospina Botero Psychiatry & Neurology 5841 S Maryland Ave # 2030s231, Chicago, IL 60637-1443 2019-03-28
1780164574 Danielle Trokey Psychiatry & Neurology 2515 N Clark St Ste 801, Chicago, IL 60614 2018-08-21
1124526272 Neurology Clinic of Chicago, LLC Psychiatry & Neurology 4909 W Division St Ste 302, Chicago, IL 60651-3161 2018-01-23
1538514120 Kathleen Mary Gorman Psychiatry & Neurology 225 E Chicago Avenue, Chicago, IL 60611 2016-05-02
1396190203 Lauren Brandes Psychiatry & Neurology 1725 W Harrison St Ste 309, Chicago, IL 60612-3844 2016-04-28
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City GURNEE
Zip Code 60031

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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