MRUNAL GAUTAM CHOKSHI


Address: 530 Ne Glen Oak Ave, Peoria, IL 61637-0001
Phone: 7168664954

MRUNAL GAUTAM CHOKSHI (NPI# 1568702686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568702686
Entity Type Individual
Full Name MRUNAL GAUTAM CHOKSHI
Credential PT
Practice Address 530 Ne Glen Oak Ave
Peoria
IL 61637-0001
Mailing Address 1908 Century Dr
Eureka
IL 61530-1667
Practice Telephone 7168664954
Mailing Telephone 7168664954
Enumeration Date 2013-02-26
Last Update Date 2017-01-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2251S0007X Physical Therapist
Specialization: Sports
5501014647 MI Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 2251X0800X Physical Therapist
Specialization: Orthopedic
070022764 IL Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 2251X0800X Physical Therapist
Specialization: Orthopedic
5501014647 MI Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 530 NE GLEN OAK AVE
City PEORIA
State IL
Zip Code 61637-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346235777 Jack Michael Gibson Obstetrics & Gynecology 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2005-09-12
1053912188 Janie Clary Nurse Practitioner 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-11-04
1265030548 Christina David Nurse Practitioner 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-10-09
1033726831 Corry Lynn Rediger Occupational Therapist 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-09-25
1720694094 Katelynn M Madden Clinical Nurse Specialist 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-09-21
1568074474 Amanda Diane Beoletto Pharmacist 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-08-21
1881212892 Mohammad Mousbah Al-tabbaa Student in an Organized Health Care Education/Training Program 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-07-07
1750909693 Mohammad Gareeb Student in an Organized Health Care Education/Training Program 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-07-07
1376160846 Bassel Elia Abouzeid Student in an Organized Health Care Education/Training Program 530 Ne Glen Oak Ave, Peoria, IL 61637 2020-07-01
1700403516 Christina Marie Spurgeon Nurse Practitioner 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-06-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780200865 Kuang Chuen Liu Pediatrics 530 Ne Glen Oak Ave, Peoria, Peoria, IL 61637 2020-06-24
1174184527 Manisha Tharoor Student in an Organized Health Care Education/Training Program 530 N.e Glen Oak Ave, Peoria, IL 61637 2019-06-26
1609436724 Sriviji Senthil Kumaran Student in an Organized Health Care Education/Training Program 530. N.e Glen Oak Ave., Peoria, IL 61637 2019-06-20
1780240929 Abuzar Ali Asif Student in an Organized Health Care Education/Training Program 530 N. E. Glen Oak Ave., Peoria, IL 61637 2019-05-14
1518328665 Jenna Bishop Dietitian, Registered 600 Ne Water Street, Peoria, IL 61637 2016-03-17
1194133850 Ashish Kumar Roy Internal Medicine 530 N.e. Glen Oak Ave, Peoria, IL 61637 2014-07-25
1265720510 Reuben Antony Pediatrics 530 Ne Glen Oak Ave., C/o Ms Suzy Lewellen, Peoria, IL 61637 2011-07-20
1366673436 Joseph William Hauter Emergency Medicine 830 Ne Glen Oak Ave, Peoria, IL 61637 2009-08-06
1437380748 Jeremy R Monroe Emergency Medicine 530 Glen Oak, Osf St Francis Medical Center, Peoria, IL 61637 2009-08-04
1326244682 Maria S. Parr Psychiatry & Neurology Osf Saint Francis Medical Center, 530 N.e.glen Oak Ave., Peoria, FL 61637 2007-06-25
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Taxonomy Information

Taxonomy Code 2251X0800X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Orthopedic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245749399 Paladino Physical Therapy Pllc Physical Therapist 9049 W Lake Pleasant Pkwy, Peoria, AZ 85382-8361 2017-09-20
1396199477 Optimaliving Therapy LLC Physical Therapist 8953 W Custer Ln, Peoria, AZ 85381-3516 2016-04-14
1275605727 Brian Paul Doorley Physical Therapist 16140 N Arrowhead Fountain Center Drive, Suite 105, Peoria, AR 85382 2006-11-13
1386684058 Troy David Huseby Physical Therapist 9745 W Happy Valley Rd, Peoria, AZ 85383 2006-06-08
1851374557 Frank K Arnold Physical Therapist 6501 N Sheridan Rd, Peoria, IL 61614-2932 2005-11-28
1285113282 Cole Uebelhor Physical Therapist 719 N William Kumpf Blvd, Peoria, IL 61605-2530 2018-08-09
1750585048 Vicki Lucas Physical Therapist 6501 N Sheridan Rd, Peoria, IL 61614-2932 2007-06-12
1699832246 Melissa Jo Hourihan Physical Therapist 7616 W Thunderbird Rd, Ste. 104, Peoria, AZ 85381-6081 2007-01-02
1841362308 Janene Kathryn Alcantar Physical Therapist 16140 N Arrowhead Fountain Center Drive, Peoria, AZ 85382 2006-11-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659986891 Murtaza Aziz Physical Therapist 1431 N Western Ave Ste 140, Chicago, IL 60622-1770 2020-09-14
1902416720 Epicore Physical Therapy Physical Therapist 1660 N La Salle Dr Apt 2708, Chicago, IL 60614-6021 2020-08-06
1356968374 Genevieve Joy Owen Physical Therapist 555 Busse Hwy Unit C1, Park Ridge, IL 60068-3189 2020-06-26
1518597772 Stability Physical Therapy and Wellness, LLC Physical Therapist 5031 W Balmoral Ave, Chicago, IL 60630-1507 2020-01-16
1154972719 Antonio Marquez Physical Therapist 7425 Janes Ave Ste 200, Woodridge, IL 60517-2358 2019-09-25
1376198978 Natalie N Ruebke Physical Therapist 251 Marketplace Dr # 2, Freeburg, IL 62243-4082 2019-08-09
1902360241 Stephanie Lynne Burkhart Physical Therapist 12251 W 159th St, Homer Glen, IL 60491-7847 2019-01-30
1003388943 Scoliosis Therapy Care and More LLC Physical Therapist 4n369 Booth Tarkington St, St Charles, IL 60175-7731 2018-12-17
1912478082 Brandon Donnelly Physical Therapist 2200 Fort Jesse Rd Ste 230, Normal, IL 61761-6291 2018-12-16
1497251086 John William Herbert Physical Therapist 1316 N Route 59, Naperville, IL 60563-4286 2018-04-03
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Competitor

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City PEORIA
Zip Code 61637

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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