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
Phone: (847) 578-8711
Fax: (847) 578-3321
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063776656 | NPPES |
| Illinois | Other | 125062131 | TEMPORARY PHYSICIAN LICENSE |
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