MEDICARE: DHARA H CHOKSHI DNP

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	163W00000X	Registered Nurse	041.482028	IL
2	363LF0000X	Family Nurse Practitioner	209.030371	IL
3	363LF0000X	Family Nurse Practitioner	322872	AZ

General Provider Information

NPI Number	:	1740910900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DHARA H CHOKSHI DNP

Provider Business Mailing Address
First Line	:	7951 W BEARDSLEY RD UNIT 15101
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85382-2745
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 W HARRISON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-3320
Country	:	US
Telephone Number	:	312-996-7000
Fax Number	:

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

Provider Enumeration Date	:	06/12/2022
Last Update Date	:	08/30/2025

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