Provider Demographics
NPI:1538335492
Name:MAJCHER, SHRADDHA ARVIND (MPT)
Entity type:Individual
Prefix:
First Name:SHRADDHA
Middle Name:ARVIND
Last Name:MAJCHER
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:563 MEADOWVIEW DR
Mailing Address - Street 2:
Mailing Address - City:WAUCONDA
Mailing Address - State:IL
Mailing Address - Zip Code:60084-2382
Mailing Address - Country:US
Mailing Address - Phone:630-550-8281
Mailing Address - Fax:
Practice Address - Street 1:563 MEADOWVIEW DR
Practice Address - Street 2:
Practice Address - City:WAUCONDA
Practice Address - State:IL
Practice Address - Zip Code:60084-2382
Practice Address - Country:US
Practice Address - Phone:630-550-8281
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-01
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.012533225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist