NPIMap

Organization Active NPI

Shukla Clinical, LLC

  • Specialist
  • Oak Brook, IL
National Provider Identifier
1073868485
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
041.316119 Issued in IL
Legal business name
SHUKLA CLINICAL, LLC
Practice address
2013 Midwest Rd
Oak Brook, IL 60523-1312
Phone
(630) 495-0220
NPI assigned
Jul 23, 2012
Last updated
Aug 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Authorized official

Name
Sujata Shukla Gur, MSN, APN/CNPNPI 1467633115
Title
Managing Partner
Phone
(630) 495-0220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 041.316119 IL Primary

Addresses

Primary practice location

2013 Midwest Rd
Oak Brook, IL 60523-1312

Mailing address

2013 Midwest Rd
Oak Brook, IL 60523-1312
Phone (630) 495-0220

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1073868485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 MIDWEST RD",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231312",
            "telephone_number": "630-495-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 MIDWEST RD",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231312",
            "telephone_number": "630-495-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHUKLA CLINICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "GUR",
        "authorized_official_first_name": "SUJATA",
        "authorized_official_middle_name": "SHUKLA",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "630-495-0220",
        "authorized_official_credential": "MSN, APN/CNP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "041.316119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.