Healthcare Provider Details

I. General information

NPI: 1972922615
Provider Name (Legal Business Name): DR. APARNA SEKHAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2014
Last Update Date: 04/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1121 E MAIN ST SUITE 140
ST CHARLES IL
60174-2205
US

IV. Provider business mailing address

1121 E MAIN ST SUITE 140
ST CHARLES IL
60174-2205
US

V. Phone/Fax

Practice location:
  • Phone: 630-587-5824
  • Fax:
Mailing address:
  • Phone: 630-587-5824
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number070.020447
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: