Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 36111699 | IL |
N | 207RP1001X | Pulmonary Disease | 36111699 | IL |
NPI | 1083679963 |
---|---|
Provider Name | Rajeshwari Chavda |
First Address | Carol Stream, IL 60122-4392 |
Second Address | Arlington Heights, IL 60005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 06/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0361116991 | (05) | IL |
I18785 | (02) |