Provider Demographics
NPI:1962835884
Name:CHAUHAN, VIRAJ DHARMRAJ (MD)
Entity Type:Individual
Prefix:DR
First Name:VIRAJ
Middle Name:DHARMRAJ
Last Name:CHAUHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17W704 BUTTERFIELD RD
Mailing Address - Street 2:APT. 212
Mailing Address - City:OAKBROOK TERRACE
Mailing Address - State:IL
Mailing Address - Zip Code:60181-4356
Mailing Address - Country:US
Mailing Address - Phone:281-725-3128
Mailing Address - Fax:
Practice Address - Street 1:3722 HARLEM AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:RIVERSIDE
Practice Address - State:IL
Practice Address - Zip Code:60546-2312
Practice Address - Country:US
Practice Address - Phone:708-447-4999
Practice Address - Fax:708-447-6498
Is Sole Proprietor?:No
Enumeration Date:2013-08-14
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036139893208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036139893Medicaid
IL036139893Medicaid