Healthcare Provider Details

I. General information

NPI: 1396240214
Provider Name (Legal Business Name): SRISHTI ABROL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2018
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5841 S MARYLAND AVE # MC2026
CHICAGO IL
60637-1443
US

IV. Provider business mailing address

5841 S MARYLAND AVE # MC2026
CHICAGO IL
60637-1443
US

V. Phone/Fax

Practice location:
  • Phone: 202-877-3536
  • Fax:
Mailing address:
  • Phone: 888-824-0200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number342182
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: