Organization Active NPI

Bulbul Bahuguna

  • Neurology Physician
  • Highland Park, IL
National Provider Identifier
1629342472
Registry record updated Feb 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
036076001 Issued in IL
Legal business name
BULBUL BAHUGUNA
Practice address
332 Skokie Valley Rd
Suite 225a
Highland Park, IL 60035-4415
Phone
(773) 907-2831
Fax
(773) 751-2250
NPI assigned
Feb 25, 2012
Last updated
Feb 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2012

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

Authorized official

Name
Dr. Bulbul Bahuguna, MDNPI 1912981366
Title
Pres
Phone
(773) 907-2831

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 036076001 IL Primary

Addresses

Primary practice location

332 Skokie Valley Rd
Suite 225a
Highland Park, IL 60035-4415

Mailing address

332 Skokie Valley Rd
Suite 225a
Highland Park, IL 60035-4415
Phone (773) 907-2831

National Provider Directory

National Provider Directory

Locations

332 Skokie Valley Rd
Ste 225A
Highland Park, IL 60035
Phone (773) 907-2831

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": "1330128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330128000000",
    "number": "1629342472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 SKOKIE VALLEY RD",
            "address_2": "SUITE 225A",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354415",
            "telephone_number": "773-907-2831",
            "fax_number": "773-751-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 SKOKIE VALLEY RD",
            "address_2": "SUITE 225A",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354415",
            "telephone_number": "773-907-2831",
            "fax_number": "773-751-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULBUL BAHUGUNA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-25",
        "last_updated": "2012-02-25",
        "status": "A",
        "authorized_official_last_name": "BAHUGUNA",
        "authorized_official_first_name": "BULBUL",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "773-907-2831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036076001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.