NPIMap

Organization Active NPI

Shaku Chhabria Neurological Services SC

  • Neurology Physician
  • Gurnee, IL
National Provider Identifier
1184636805
Registry record updated Jul 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
036053149 Issued in IL
Legal business name
SHAKU CHHABRIA NEUROLOGICAL SERVICES SC
Practice address
222 S Greenleaf St Ste 111
Gurnee, IL 60031-5705
Phone
(847) 360-0044
Fax
(847) 360-8804
NPI assigned
Aug 12, 2006
Last updated
Jul 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2011

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

Authorized official

Name
Shakuntala Chhabria, MDNPI 1992856678
Title
Owner
Phone
(847) 360-0044

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X 036053149 IL Primary
Neurology with Special Qualifications in Child Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0402X 036053149 IL

Addresses

Primary practice location

222 S Greenleaf St Ste 111
Gurnee, IL 60031-5705

Mailing address

222 S Greenleaf St Ste 111
Gurnee, IL 60031-5705
Phone (847) 360-0044

Other identifiers 3

IdentifierTypeStateIssuer
DE1546OtherILRAIL ROAD MEDICARE
036053149MedicaidIL
4900918OtherILBLUE CROSS/SHIELD

Other names 1

  • Chhabria Neurological Services Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310083200000",
    "number": "1184636805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S GREENLEAF ST STE 111",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315705",
            "telephone_number": "847-360-0044",
            "fax_number": "847-360-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S GREENLEAF ST STE 111",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315705",
            "telephone_number": "847-360-0044",
            "fax_number": "847-360-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAKU CHHABRIA NEUROLOGICAL SERVICES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2011-07-08",
        "status": "A",
        "authorized_official_last_name": "CHHABRIA",
        "authorized_official_first_name": "SHAKUNTALA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-360-0044",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036053149",
            "primary": true
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "IL",
            "license": "036053149",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "DE1546",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036053149",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/SHIELD",
            "identifier": "4900918",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chhabria Neurological Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; 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.