Provider Demographics
NPI:1083799142
Name:ARORA, SUCHARITA (MD)
Entity Type:Individual
Prefix:
First Name:SUCHARITA
Middle Name:
Last Name:ARORA
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 1:135 S ROBERT T PALMER DR
Mailing Address - Street 2:SUITE 25
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-3412
Mailing Address - Country:US
Mailing Address - Phone:630-832-3055
Mailing Address - Fax:630-832-0927
Practice Address - Street 1:135 S ROBERT T PALMER DR
Practice Address - Street 2:SUITE 25
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-3412
Practice Address - Country:US
Practice Address - Phone:630-832-3055
Practice Address - Fax:630-832-0927
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL2201355OtherBSBS PROVIDER NO
ILK32771Medicare PIN
ILD14395Medicare UPIN
IL2201355OtherBSBS PROVIDER NO