Provider Demographics
NPI:1700602836
Name:SARGURU, SHILPY (DNP)
Entity type:Individual
Prefix:DR
First Name:SHILPY
Middle Name:
Last Name:SARGURU
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:DR
Other - First Name:SHELBY
Other - Middle Name:
Other - Last Name:SARGURU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DNP
Mailing Address - Street 1:3215 N TROY ST APT 1
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-5796
Mailing Address - Country:US
Mailing Address - Phone:847-828-7234
Mailing Address - Fax:
Practice Address - Street 1:1025 W SUNNYSIDE AVE STE 201
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-5684
Practice Address - Country:US
Practice Address - Phone:773-935-6126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-22
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041445443163W00000X
IL209031133363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse