Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 036081295 | IL |
NPI | 1023045788 |
---|---|
Provider Name | Dr. Bhupinder K Chhabra |
First Address | Elk Grove Village, IL 60007-3397 |
Second Address | Elk Grove Village, IL 60007-3397 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 08/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036081295 | (05) | IL |
1638931 | BCBS OF IL (01) | IL |
F93098 | (02) | IL |