MEDICARE: SHILPA M JOGLEKAR M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	036114039	IL

General Provider Information

NPI Number	:	1225087174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHILPA M JOGLEKAR M.D.

Provider Business Mailing Address
First Line	:	7900 N MILWAUKEE AVE
Second Line	:
City	:	NILES
State	:	IL
Zip	:	60714-3159
Country	:	US
Telephone Number	:	847-663-9700
Fax Number	:	847-663-9702

Provider Business Practice Location Address
First Line	:	7900 N MILWAUKEE AVE
Second Line	:
City	:	NILES
State	:	IL
Zip	:	60714-3159
Country	:	US
Telephone Number	:	847-663-9700
Fax Number	:	847-663-9702

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	12/15/2021

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