Chaturvedi, Gaurav

Chaturvedi, Gaurav is an individual health care provider with primary practice located at 1775 Ballard Rd , Park Ridge IL 60068-1005. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Chaturvedi, Gaurav can be contacted via phone (847) 318-9340.

Contact Information

Primary practice address
1775 Ballard Rd Park Ridge IL 60068-1005
Phone: (847) 318-9340
Fax: (847) 318-2966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036107823 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036107823 Illinois

Profile Details

NPI number 1396778858
LBN Legal business name Chaturvedi, Gaurav
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Jun 7th, 2022 - about 4 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 1396778858 NPPES
Illinois Other 363149833 TAX IDENTIFICATION NUMBER
Illinois Other 0222075 TAX IDENTIFICATION NUMBER
Illinois MEDICAID 036107823 TAX IDENTIFICATION NUMBER

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