Active NPI
Viraj Dharmraj Chauhan, M.D.
- Pediatrics Physician
- Riverside, IL
National Provider Identifier
1962835884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036139893
- Practice address
- 3722 Harlem Ave
Suite 200
Riverside, IL 60546-2312 - Phone
- (708) 447-4999
- Fax
- (708) 447-6498
- NPI assigned
- Aug 14, 2013
- Sex
- Female
- Sole proprietor
- No
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 | 036139893 | IL | Primary |
Addresses
Primary practice location
3722 Harlem Ave
Suite 200
Riverside, IL 60546-2312
Mailing address
17W704 Butterfield Rd
Apt. 212
Oakbrook Terrace, IL 60181-4356
Phone (281) 725-3128
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036139893 | Medicaid | IL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036139893 | IL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488499200000",
"number": "1962835884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17W704 BUTTERFIELD RD",
"address_2": "APT. 212",
"city": "OAKBROOK TERRACE",
"state": "IL",
"postal_code": "601814356",
"telephone_number": "281-725-3128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3722 HARLEM AVE",
"address_2": "SUITE 200",
"city": "RIVERSIDE",
"state": "IL",
"postal_code": "605462312",
"telephone_number": "708-447-4999",
"fax_number": "708-447-6498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAUHAN",
"first_name": "VIRAJ",
"middle_name": "DHARMRAJ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-14",
"last_updated": "2017-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036139893",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036139893",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Riverside, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.