Healthcare Provider Details

I. General information

NPI: 1003313560
Provider Name (Legal Business Name): AKSHI CHHABRIA DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2018
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3115 N BROADWAY ST
CHICAGO IL
60657-4522
US

IV. Provider business mailing address

2815 N LINCOLN AVE # 2
CHICAGO IL
60657-4201
US

V. Phone/Fax

Practice location:
  • Phone: 773-270-5000
  • Fax:
Mailing address:
  • Phone: 440-759-4486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number019.032362
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: