Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 036151698 | IL |
N | 207RC0200X | Critical Care Medicine | 56208 | TN |
N | 207RP1001X | Pulmonary Disease | 036151698 | IL |
N | 207RP1001X | Pulmonary Disease | 56208 | TN |
N | 207RS0012X | Sleep Medicine | 036151698 | IL |
N | 207RS0012X | Sleep Medicine | 56208 | TN |
NPI | 1033498472 |
---|---|
Provider Name | Anurag Mehrotra |
First Address | Elk Grove Village, IL 60007-3367 |
Second Address | Elk Grove Village, IL 60007-3367 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2011 |
Last Update Date | 05/04/2021 |