Provider Demographics
NPI:1144554833
Name:CHAUDHARI, NEEMA
Entity type:Individual
Prefix:
First Name:NEEMA
Middle Name:
Last Name:CHAUDHARI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1383 BRANDEN LN
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:IL
Mailing Address - Zip Code:60103-8924
Mailing Address - Country:US
Mailing Address - Phone:205-218-8210
Mailing Address - Fax:
Practice Address - Street 1:220 N 1ST ST
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:IL
Practice Address - Zip Code:60090-2980
Practice Address - Country:US
Practice Address - Phone:205-218-8210
Practice Address - Fax:847-947-8414
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-28
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05009826A171W00000X
IL070019005225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No171W00000XOther Service ProvidersContractor