Active NPI
Shruti Chadha Trehan, M.D
- Pediatrics Physician
- Chicago, IL
National Provider Identifier
1538311642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036124480
- Practice address
- 2875 W 19TH St
Department of Pediatrics
Chicago, IL 60623-3501 - Phone
- (773) 484-1000
- NPI assigned
- Oct 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036124480 | IL | Primary |
Addresses
Primary practice location
2875 W 19TH St
Department of Pediatrics
Chicago, IL 60623-3501
Mailing address
7541 Brown Ave
Unit I
Forest Park, IL 60130-1091
Phone (847) 828-3823
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- shruti.trehan.1@11903.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285286400000",
"number": "1538311642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7541 BROWN AVE",
"address_2": "UNIT I",
"city": "FOREST PARK",
"state": "IL",
"postal_code": "601301091",
"telephone_number": "847-828-3823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2875 W 19TH ST",
"address_2": "DEPARTMENT OF PEDIATRICS",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606233501",
"telephone_number": "773-484-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREHAN",
"first_name": "SHRUTI",
"middle_name": "CHADHA",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-21",
"last_updated": "2010-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036124480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.