Jogendra Singh Chhabra, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

36112433 Issued in IL

Practice address

110 East Main Street
Norris City Health Clinic
Norris City, IL 62869-0464

Phone

(618) 378-3440

Fax

(877) 445-6144

NPI assigned

Mar 13, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Norris City Health Clinic

  • Rural Health Clinic/Center
  • Norris City, IL
  • NPI 1326274325
  NPD (past) Authorized official
• CLS Medical Inc.

  • Primary Care Clinic/Center
  • Goreville, IL
  • NPI 1790980985
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1043343569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CARMIE LN",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591573",
            "telephone_number": "618-364-0075",
            "fax_number": "877-445-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 EAST MAIN STREET",
            "address_2": "NORRIS CITY HEALTH CLINIC",
            "city": "NORRIS CITY",
            "state": "IL",
            "postal_code": "628690464",
            "telephone_number": "618-378-3440",
            "fax_number": "877-445-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHHABRA",
        "first_name": "JOGENDRA",
        "middle_name": "SINGH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "36112433",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "36112433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tori Bradley, BSN,RN
• Erin Leigh Cunningham
• Sarah Yvonne Draper, MSW, LSW
• Madison Rose Ferreira
• Braci Leannell Fulkerson, MS-CCC-SLP
• Gary L. Lemmon & Associates, Inc.

• All providers in Norris City, IL
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.