Basic Information
Provider Information
NPI: 1003015116
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHHABRA
FirstName: DARSHIKA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4440 W 95TH ST
Address2:  
City: OAK LAWN
State: IL
PostalCode: 604532600
CountryCode: US
TelephoneNumber: 7086848000
FaxNumber:  
Practice Location
Address1: 4440 W 95TH ST
Address2:  
City: OAK LAWN
State: IL
PostalCode: 604532600
CountryCode: US
TelephoneNumber: 7086848000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/18/2007
LastUpdateDate: 07/31/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RN0300X036-117304ILY Allopathic & Osteopathic PhysiciansInternal MedicineNephrology

No ID Information.


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