MEDICARE: NABEELA SHAKIR CHADHA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	149.027350	IL

General Provider Information

NPI Number	:	1376480681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NABEELA SHAKIR CHADHA

Provider Business Mailing Address
First Line	:	2035 W MONTROSE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-1713
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 MAIN ST STE 203
Second Line	:
City	:	EVANSTON
State	:	IL
Zip	:	60202-4960
Country	:	US
Telephone Number	:	847-996-9994
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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