Mukherjee, Shubhra

Mukherjee, Shubhra is an individual health care provider with primary practice located at 2211 N Oak Park Ave , Chicago IL 60707-3392. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine. Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine is her primary health care specialty. Mukherjee, Shubhra can be contacted via phone (773) 385-5463.

Contact Information

Primary practice address
2211 N Oak Park Ave Chicago IL 60707-3392
Phone: (773) 385-5463
Fax: (773) 385-5488
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 036-102847 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-102847 Illinois
Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine 2081P0010X 036-102847 Illinois

Profile Details

NPI number 1790770659
LBN Legal business name Mukherjee, Shubhra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Sep 1st, 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 1790770659 NPPES
Illinois MEDICAID 036102847-2
Illinois MEDICAID 036102847
Illinois MEDICAID 036102847-3

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