SHAKUNTALA CHHABRIA


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

SHAKUNTALA CHHABRIA (NPI# 1992856678) 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) 1992856678
Entity Type Individual
Full Name SHAKUNTALA CHHABRIA
Credential M.D.
Practice Address 222s Greenleaf St 111
Gurnee
IL 60031-5705
Mailing Address 222 South Greenleaf Street Suite 111
Gurnee
IL 60031-5705
Practice Telephone 8473600044
Practice Fax Number 8473608804
Mailing Telephone 8475876112
Mailing Fax Number 8475876113
Enumeration Date 2007-01-16
Last Update Date 2015-07-23
Gender Code F
Is Sole Proprietor N

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
IL 036053149 05
IL BLUE CROSS BLUE SHIELD 4900918 01
IL RAIL ROAD MEDICARE P00275220 01

Office Location

Street Address 222S GREENLEAF ST 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 2084N0402X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology with Special Qualifications in Child Neurology

Taxonomy Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
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
1184636805 Shaku Chhabria Neurological Services Sc Psychiatry & Neurology 222 S Greenleaf St Ste 111, Gurnee, IL 60031-5705 2006-08-12
1477997674 Olga Kozlova Psychiatry & Neurology 30 Tower Ct, Suite C, Gurnee, IL 60031-3322 2013-04-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1700226206 Aliesje Sorgeloos Psychiatry & Neurology 4220 W 95th St Ste 210, Oak Lawn, IL 60453 2013-06-28
1851558001 Lubov Romantseva Psychiatry & Neurology 1725 W Harrison St Ste 718, Department of Pediatrics, Section of Child Neurology, Chicago, IL 60612-3863 2008-05-16
1154597029 Children's Physician Group Psychiatry & Neurology 1473 Commerce Dr, Algonquin, IL 60102-5916 2008-05-01
1457484669 Michelle Annette Melyn Psychiatry & Neurology 7777 West Lake St, River Forest, IL 60305 2007-03-14
1053481929 Rita Yadava M.d.s.c. Psychiatry & Neurology 1200 South York Rd, 4150, Elmhurst, IL 60126 2006-11-08
1356446306 Leonard D Elkun Md Sc Psychiatry & Neurology 411 W Ontario St, Suite 402, Chicago, IL 60610-6945 2006-09-14
1023129145 Leonard David Elkun Psychiatry & Neurology 411 W. Ontario St, Suite 402, Chicago, IL 60610-6945 2006-08-31
1811929003 Charles Nash Swisher Psychiatry & Neurology 2515 N Clark Street, Suite, Chicago, IL 60614 2006-07-07
1972543080 Hossam Hamdi Abdelsalam Psychiatry & Neurology 3040 W Salt Creek Ln, Arlington Heights, IL 60005-1069 2006-06-07
1578531950 David G Ritacco Psychiatry & Neurology 225 E Chicago Ave # 51, Chicago, IL 60611-2991 2006-03-10
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Competitor

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City GURNEE
Zip Code 60031

Improve Information

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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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