Healthcare Provider Details

I. General information

NPI: 1083527576
Provider Name (Legal Business Name): SURABHI CHHABRA BDS, MDS, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2756 W CERMAK RD
CHICAGO IL
60608-3528
US

IV. Provider business mailing address

2756 W CERMAK RD
CHICAGO IL
60608-3528
US

V. Phone/Fax

Practice location:
  • Phone: 773-247-5707
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number019.037517
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number019.037517
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: