Healthcare Provider Details

I. General information

NPI: 1639034234
Provider Name (Legal Business Name): SRINITYA SUJATA VOORA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1975 MC DOWELL RD STE 101
NAPERVILLE IL
60563-6533
US

IV. Provider business mailing address

2023 CANYON CREEK DR
AURORA IL
60503-4934
US

V. Phone/Fax

Practice location:
  • Phone: 331-229-8839
  • Fax:
Mailing address:
  • Phone: 847-868-5426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: