Provider Demographics
NPI:1447581525
Name:CHOWDHRY, SHAHNAZ (M D)
Entity Type:Individual
Prefix:
First Name:SHAHNAZ
Middle Name:
Last Name:CHOWDHRY
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 N MICHIGAN AVE
Mailing Address - Street 2:UNIT 2503
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2617
Mailing Address - Country:US
Mailing Address - Phone:312-927-7028
Mailing Address - Fax:
Practice Address - Street 1:777 N MICHIGAN AVE
Practice Address - Street 2:UNIT 2503
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2617
Practice Address - Country:US
Practice Address - Phone:312-927-7028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-29
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.119467208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery