Provider Demographics
NPI:1023045788
Name:CHHABRA, BHUPINDER K (MD)
Entity Type:Individual
Prefix:DR
First Name:BHUPINDER
Middle Name:K
Last Name:CHHABRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 BIESTERFIELD RD
Mailing Address - Street 2:SUITE 3007
Mailing Address - City:ELK GROVE VILLAGE
Mailing Address - State:IL
Mailing Address - Zip Code:60007-3397
Mailing Address - Country:US
Mailing Address - Phone:847-290-6513
Mailing Address - Fax:847-290-8505
Practice Address - Street 1:800 BIESTERFIELD RD
Practice Address - Street 2:SUITE 3007
Practice Address - City:ELK GROVE VILLAGE
Practice Address - State:IL
Practice Address - Zip Code:60007-3397
Practice Address - Country:US
Practice Address - Phone:847-290-6513
Practice Address - Fax:847-290-8505
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-27
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036081295207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036081295Medicaid
IL1638931OtherBCBS OF IL
ILF93098Medicare ID - Type Unspecified
IL036081295Medicaid
ILP00610858Medicare PIN
IL1638931OtherBCBS OF IL
ILK51041Medicare PIN
ILIL3774001Medicare PIN
ILF93098Medicare UPIN