Shivpuri, Roop Rekha

Shivpuri, Roop Rekha is an sole proprietor health care provider with primary practice located at 2050 Larkin Ave , Elgin IL 60123-5888. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Shivpuri, Roop Rekha can be contacted via phone (847) 697-2500.

Contact Information

Primary practice address
2050 Larkin Ave Elgin IL 60123-5888
Fax: (847) 697-2565
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 36059029 Illinois

Profile Details

NPI number 1598758047
LBN Legal business name Shivpuri, Roop Rekha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2005
Last updated Sep 5th, 2007 - about 15 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 1598758047 NPPES
Illinois Other 4500577 BLUE CROSS BLUE SHIELD

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