Provider Demographics
NPI:1760591903
Name:DOSHI, SALIL V (MD)
Entity Type:Individual
Prefix:
First Name:SALIL
Middle Name:V
Last Name:DOSHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10001 W INNOVATION DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-4851
Mailing Address - Country:US
Mailing Address - Phone:888-938-3838
Mailing Address - Fax:888-919-1083
Practice Address - Street 1:1739 FREEDOM DR STE 101
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-3565
Practice Address - Country:US
Practice Address - Phone:888-938-3838
Practice Address - Fax:888-919-1083
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036093674207Y00000X, 207Y00000X, 208600000X
IL036-093674207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1000293OtherUNITED HEALTHCARE ID
IL5816555OtherAETNA PROVIDER ID
IL788672OtherUNITED HEALTHCARE ID
IL595493303OtherCIGNA PROVIDER ID
IL036093674Medicaid
IL4848466001OtherCIGNA PROVIDER ID
IL040017862OtherRAILROAD MEDICARE UPIN
IL040017863OtherRAILROAD MEDICARE UPIN
IL4848466001OtherCIGNA PROVIDER ID