Shobha Nookala
MD | Psychiatry | Child & Adolescent | 36+ years Exp
900 Main St, Suite 400, Peoria
Illinois, 61602-1005
309-672-3100 Maps & DirectionsShobha Nookala is a Peoria, Illinois based psychiatrist with 36 years of experience in Child & Adolescent. She completed her graduation in 1989. She may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Her current practice location is 900 Main St, Suite 400, Peoria. Patients can reach her at 309-672-3100. Shobha Nookala is MD in Child & Adolescent and her NPI number (Unique professional ID assigned by NPPES) is 1154336691.
Shobha Nookala has done additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Profile:
Shobha Nookala speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Shobha Nookala |
| Specialization: | Child & Adolescent |
| Gender: | Female |
| Credentials: | MD |
| Accepts Medicare Assignment: | May Accept |
| Practice Address: | 900 Main St, Suite 400, Peoria,
Illinois, 61602-1005 |
| Phone: | 309-672-3100 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 3072500735 |
| Enrollment ID: | I20040427000105 |
| NPI Number: | 1154336691 |
| NPI Enumeration Date: | 31 Jul, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Shobha Nookala is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Methodist Medical Center Of Illinois (1355259714) | 235 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Shobha Nookala such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 088318 | Other | Illinois | HEALTH ALLIANCE |
| 472292 | Other | Illinois | HEALTHLINK |
| 7215059 | Other | Illinois | BCBS PPO |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Shobha Nookala
5100 Reliable Pkwy,
Chicago, Illinois |
| Zip: | 60686-0001 |
| Phone Number: | 309-672-4809 |
Patients can reach Shobha Nookala at
900 Main St, Suite 400, Peoria, Illinois or can
call to book an appointment on 309-672-3100.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.