Healthcare Provider Details

I. General information

NPI: 1598926339
Provider Name (Legal Business Name): NEHA JOSHI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2008
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1620 W HARRISON ST KELLOGG BUILDING SUITE 708 KELLOGG BUILDING
CHICAGO IL
60612-3801
US

IV. Provider business mailing address

29373 NETWORK PL
CHICAGO IL
60673-1293
US

V. Phone/Fax

Practice location:
  • Phone: 312-942-3034
  • Fax: 312-563-2299
Mailing address:
  • Phone: 847-390-5900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License Number274678
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License Number036150930
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: