Provider Demographics
NPI:1093766594
Name:CHAUHAN, RANJANA (MD)
Entity Type:Individual
Prefix:DR
First Name:RANJANA
Middle Name:
Last Name:CHAUHAN
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:PO BOX 713260
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-1260
Mailing Address - Country:US
Mailing Address - Phone:630-469-9200
Mailing Address - Fax:
Practice Address - Street 1:908 N ELM ST STE 104
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3687
Practice Address - Country:US
Practice Address - Phone:630-322-8300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD26191207W00000X
WAMD00045761207W00000X
IL036147377207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR271005Medicaid
OR271053Medicaid
OR271053Medicaid
OR132741Medicare Oscar/Certification
ORR169489Medicare PIN
OR271005Medicaid
ORR169487Medicare PIN
ORR169488Medicare PIN
ORR169490Medicare PIN