Chatterjee, Madhumita

Chatterjee, Madhumita is an sole proprietor health care provider with primary practice located at 3024 E Empire St Ste 3A , Bloomington IL 61704-5402. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Chatterjee, Madhumita can be contacted via phone (309) 556-7700.

Contact Information

Primary practice address
3024 E Empire St Ste 3A Bloomington IL 61704-5402
Phone: (309) 556-7700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036092056 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01081107B Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036092056 Illinois

Profile Details

NPI number 1679510804
LBN Legal business name Chatterjee, Madhumita
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2006
Last updated Feb 4th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679510804 NPPES
Illinois Other F400191295 MEDICARE PTAN

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