SHUBHRA MUKHERJEE (NPI# 1790770659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790770659 |
| Entity Type | Individual |
| Full Name | SHUBHRA MUKHERJEE |
| Credential | MD |
| Practice Address |
2211 N Oak Park Ave Chicago IL 60707-3392 |
| Mailing Address |
Po Box 8500 Philadelphia PA 19178-8500 |
| Practice Telephone | 7733855463 |
| Practice Fax Number | 7733855488 |
| Mailing Telephone | 7733855463 |
| Mailing Fax Number | 7733855488 |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2020-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 036-102847 | IL | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | 036-102847 | IL | Allopathic & Osteopathic Physicians |
| Y | 2081P0010X |
Physical Medicine & Rehabilitation Specialization: Pediatric Rehabilitation Medicine |
036-102847 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036102847 | 05 | |
| IL | 036102847-2 | 05 | |
| IL | 036102847-3 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 355 E Erie St, Chicago, IL 606113167 | 3122381000 |
| Street Address |
2211 N OAK PARK AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60707-3392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740111 | Emily Mary Thomas | Occupational Therapist | 2211 N Oak Park Ave, Chicago, IL 60707-3351 | 2020-05-01 |
| 1093335770 | Kyle Cressy Deane | Psychologist | 2211 N Oak Park Ave, Chicago, IL 60707-3392 | 2020-04-22 |
| 1295299600 | Allison Ragins | Physician Assistant | 2211 N Oak Park Ave, Chicago, IL 60707-3351 | 2019-01-30 |
| 1033686878 | Katrina Marie Vogel | Physician Assistant | 2211 N Oak Park Ave, Chicago, IL 60707-3392 | 2018-10-30 |
| 1326536574 | Shriners Hospitals for Children | Anesthesiology | 2211 N Oak Park Ave, Chicago, IL 60707-3351 | 2018-04-24 |
| 1427550748 | Elizabeth Hampton | Physical Therapist | 2211 N Oak Park Ave, Chicago, IL 60707-3351 | 2018-03-02 |
| 1366986184 | Lynn Freedman | Nurse Practitioner | 2211 N Oak Park Ave, Chicago, IL 60707-3351 | 2016-12-13 |
| 1992256531 | Kelsey Lynn Moon | Physician Assistant | 2211 N Oak Park Ave, Chicago, IL 60707-3392 | 2016-10-19 |
| 1760835938 | Pediatric Orthotic and Prosthetic Services - Midwest, LLC | Prosthetic/Orthotic Supplier | 2211 N Oak Park Ave, Chicago, IL 60707-3351 | 2016-07-22 |
| 1639539984 | Elana Blivaiss | Nurse Practitioner | 2211 N Oak Park Ave, Chicago, IL 60707-3351 | 2016-02-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679077408 | Karen Ennis, Slp, Inc. | Speech-Language Pathologist | 1709 73rd Ct, Elmood Park, IL 60707 | 2018-03-19 |
| 1518324995 | Dosha Grant | Registered Nurse | 2317 N Rutherford, Elmwood Park, IL 60707 | 2016-01-15 |
| 1962774794 | Oak Park Dental Group | Dentist | 7034 W. North Ave., Chicago, IL 60707 | 2012-02-09 |
| 1326277005 | Resurrection Services | Internal Medicine | 2433 North Harlem Ave, Ste 100, Chicago, IL 60707 | 2009-07-02 |
| 1134370059 | Mefagui Dental Office P.C. | Dentist | 6913 W. Grand Ave, Chicago, IL 60707 | 2008-10-09 |
| 1821265760 | Carly M. Smith | Chiropractor | 7716 W. North, Elmwood Pk, IL 60707 | 2008-05-09 |
| 1063695096 | Henry J. Hagopian D.d.s. P.C. | Dentist | 7518 W. North Avenue, Elmwood Park, IL 60707 | 2007-12-13 |
| 1386864411 | Brian M Caraba Dds PC | Dentist | 7124 W Diversey Ave, Chicago, IL 60707 | 2007-04-30 |
| 1104041243 | Clinics for Wellness and Neuropathy, LLC | Internal Medicine | 2333 N. Harlem, Chicago, IL 60707 | 2007-04-16 |
| 1972621050 | Sid Anderson | Psychologist | 2408 Westbrook Drive, Elmwood Park, IL 60707 | 2007-03-27 |
| Find all providers in zip 60707 | ||||
| Taxonomy Code | 2081P0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pediatric Rehabilitation Medicine |
| A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate for PRM was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Early discussions underway |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831246560 | Yesenia Rivera | Physical Medicine & Rehabilitation | 1129 N Homan Ave, Chicago, IL 60651-4008 | 2007-01-04 |
| 1457833758 | Carolyn Stoesser | Physical Medicine & Rehabilitation | 310 N Loomis St, Chicago, IL 60607-1147 | 2018-09-04 |
| 1174938591 | Maria Gabriela Martinez | Physical Medicine & Rehabilitation | 2211 N Oak Park Ave, Chicago, IL 60707-3392 | 2014-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063544401 | Starved Rock Regional Center for Therapy & Child Development | Physical Medicine & Rehabilitation | 1013 Adams Street, Ottawa, IL 61354-4304 | 2007-03-12 |
| 1316094097 | Francesca Jeanne Knedlhans | Physical Medicine & Rehabilitation | 138 S Crest Ave, Bartlett, Bartlett, IL 60103-4213 | 2007-01-04 |
| 1346306172 | Aimee Sevier | Physical Medicine & Rehabilitation | 512 Chicago Ave, Downers Grove, IL 60515-3811 | 2006-12-28 |
| 1194363747 | James Matson | Physical Medicine & Rehabilitation | 4450 48th Avenue Ct, Rock Island, IL 61201-9213 | 2019-12-13 |
| 1871140863 | Jasmine Simon | Physical Medicine & Rehabilitation | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2019-08-23 |
| 1376190611 | Paige Bordy | Physical Medicine & Rehabilitation | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2019-08-21 |
| 1275818452 | Emily O'connor | Physical Medicine & Rehabilitation | 2901 Finley Rd, Suite 101, Downers Grove, IL 60515-1041 | 2011-10-19 |
| 1376821298 | Nicole Scott Sauer | Physical Medicine & Rehabilitation | 2901 Finley Rd, Suite 101, Downers Grove, IL 60515-1041 | 2011-07-26 |
| 1962559666 | Jennifer Joseph | Physical Medicine & Rehabilitation | 2901 Finley Rd, Suite 101, Downers Grove, IL 60515-1041 | 2007-01-04 |
| 1396892014 | Jackie Howard | Physical Medicine & Rehabilitation | 2901 Finley Rd, Suite 101, Downers Grove, IL 60515-1041 | 2007-01-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SHUBHRA MUKHERJEE.
| 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.