Provider Demographics
NPI:1518213537
Name:MEHRA, GAURIKA (MD)
Entity Type:Individual
Prefix:DR
First Name:GAURIKA
Middle Name:
Last Name:MEHRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:GAURIKA
Other - Middle Name:MEHRA
Other - Last Name:ATRI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 3603
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60522-3603
Mailing Address - Country:US
Mailing Address - Phone:773-772-7858
Mailing Address - Fax:773-276-6668
Practice Address - Street 1:2720 W DIVISION ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-2853
Practice Address - Country:US
Practice Address - Phone:773-772-7858
Practice Address - Fax:773-276-6668
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-27
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036138594207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILQZZ000000136068OtherAETNA BETTER HEALTH
ILP01727255OtherRAILROAD MEDICARE
IL036-138594Medicaid
IL152712614OtherBCBS
IL13882754OtherCAQH
IL13882754OtherCAQH
IL036-138594Medicaid