Provider Demographics
NPI:1982647707
Name:CHOKSHI, SAPANA (MD)
Entity Type:Individual
Prefix:DR
First Name:SAPANA
Middle Name:
Last Name:CHOKSHI
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:P O BOX 4521
Mailing Address - Street 2:
Mailing Address - City:LISLE
Mailing Address - State:IL
Mailing Address - Zip Code:60532
Mailing Address - Country:US
Mailing Address - Phone:630-995-9905
Mailing Address - Fax:630-995-9905
Practice Address - Street 1:736 N YORK RD
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3535
Practice Address - Country:US
Practice Address - Phone:630-995-9905
Practice Address - Fax:630-995-9905
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361103172084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036036110317Medicaid
ILK16985Medicare ID - Type Unspecified
IL036036110317Medicaid