Healthcare Provider Details

I. General information

NPI: 1962835447
Provider Name (Legal Business Name): RESHMA SEKHAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2013
Last Update Date: 08/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 S CALIFORNIA AVE
CHICAGO IL
60608-1858
US

IV. Provider business mailing address

2901 S MICHIGAN AVE APT 1710
CHICAGO IL
60616-3460
US

V. Phone/Fax

Practice location:
  • Phone: 773-522-2010
  • Fax:
Mailing address:
  • Phone: 551-208-7389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number: 070019646
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: