Doctor Name: | ANITHA SARAVANAN |
NPI Number: | 1346678257 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, ANP-BC, PCCN |
License Number: | 209010397 |
Business Practice Address: | 17w682 Butterfield Rd Ste 300 Oakbrook Terrace, IL - 601814029 |
Business Phone Number: | 6309096518 |
Business Fax Number: | 6302684510 |
Mailing Address: | 17w682 Butterfield Rd Ste 300, OAKBROOK TERRACE |
State: | IL |
Postal Code: | 601814029 |
Phone Number: | 6309096518 |
Fax Number: | 6302684510 |
NPI Enumeration Date: | 10/31/2013 |
NPI Last Update Date: | 05/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | 209010397 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |