Provider Demographics
NPI:1942049853
Name:CHAUDHARY, RINKU
Entity type:Individual
Prefix:
First Name:RINKU
Middle Name:
Last Name:CHAUDHARY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1119 ORANGERY CT
Mailing Address - Street 2:
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60188-1397
Mailing Address - Country:US
Mailing Address - Phone:224-281-9070
Mailing Address - Fax:
Practice Address - Street 1:2500 W HIGGINS RD STE 1165
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-2050
Practice Address - Country:US
Practice Address - Phone:847-610-3188
Practice Address - Fax:847-610-3192
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.029747363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily