Basic Information
Provider Information
NPI: 1528353034
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHAUDHRY
FirstName: HINA
MiddleName: SHAUKAT
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1860 PAYSHERE CIR
Address2:  
City: CHICAGO
State: IL
PostalCode: 606740001
CountryCode: US
TelephoneNumber: 6304699200
FaxNumber:  
Practice Location
Address1: 1020 E OGDEN AVE
Address2: STE 100
City: NAPERVILLE
State: IL
PostalCode: 605638609
CountryCode: US
TelephoneNumber: 6302680200
FaxNumber: 6305456084
Other Information
ProviderEnumerationDate: 06/13/2011
LastUpdateDate: 02/03/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X125:059738ILN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RR0500X036135315ILY Allopathic & Osteopathic PhysiciansInternal MedicineRheumatology

No ID Information.


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