Chava, Priyanka

Chava, Priyanka is an sole proprietor health care provider with primary practice located at 3333 Green Bay Rd , North Chicago IL 60064-3037. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Chava, Priyanka can be contacted via phone (847) 578-8711.

Contact Information

Primary practice address
3333 Green Bay Rd North Chicago IL 60064-3037
Fax: (847) 578-3321
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 125062131 Illinois

Profile Details

NPI number 1063776656
LBN Legal business name Chava, Priyanka
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2012
Last updated Mar 25th, 2015 - about 11 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 1063776656 NPPES
Illinois Other 125062131 TEMPORARY PHYSICIAN LICENSE

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