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NPI Code Detail

MEDICARE: DR. SAPNA KANSAL MUKHERJEE MD

MEDICARE: DR. SAPNA KANSAL MUKHERJEE MD
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
1208000000XPediatrics Physician036103745IL

General Provider Information

NPI Number : 1770547143
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAPNA KANSAL MUKHERJEE MD
Provider Business Mailing Address
First Line : 29373 NETWORK PL
Second Line :
City : CHICAGO
State : IL
Zip : 60673-1293
Country : US
Telephone Number : 847-390-5900
Fax Number :
Provider Business Practice Location Address
First Line : 3232 LAKE AVE STE 330
Second Line :
City : WILMETTE
State : IL
Zip : 60091-1085
Country : US
Telephone Number : 224-226-9420
Fax Number : 847-256-2140
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2006
Last Update Date : 04/19/2024

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Directions to “ DR. SAPNA KANSAL MUKHERJEE MD” Practice Location

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