Healthcare Provider Details

I. General information

NPI: 1285922393
Provider Name (Legal Business Name): NEERAJ CHHABRA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2011
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2650 RIDGE AVE EVANSTON HOSPITAL
EVANSTON IL
60201-1718
US

IV. Provider business mailing address

2650 RIDGE AVE EVANSTON HOSPITAL
EVANSTON IL
60201-1718
US

V. Phone/Fax

Practice location:
  • Phone: 847-570-2114
  • Fax:
Mailing address:
  • Phone: 847-570-2114
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PT0002X
TaxonomyMedical Toxicology (Emergency Medicine) Physician
License Number036137133
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number036137133
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: