Provider Demographics
NPI:1174789770
Name:DHARIA, SHIMONI K (MD)
Entity type:Individual
Prefix:DR
First Name:SHIMONI
Middle Name:K
Last Name:DHARIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SHIMONI
Other - Middle Name:A
Other - Last Name:KADAKIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:29373 NETWORK PL
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60673-1293
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4440 W 95TH ST
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2600
Practice Address - Country:US
Practice Address - Phone:708-684-4557
Practice Address - Fax:708-684-4995
Is Sole Proprietor?:No
Enumeration Date:2008-08-03
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361199762080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology