Doctor Name: | MS. ANIA GUTNIK |
NPI Number: | 1821400896 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 203001647 |
Business Practice Address: | 1901 Raymond Dr Suite 2 Northbrook, IL - 600626720 |
Business Phone Number: | 8553543337 |
Business Fax Number: | 8473544939 |
Mailing Address: | 1901 Raymond Dr, Suite 2 NORTHBROOK |
State: | IL |
Postal Code: | 600626720 |
Phone Number: | 8553543337 |
Fax Number: | 8473544939 |
NPI Enumeration Date: | 05/27/2014 |
NPI Last Update Date: | 05/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 203001647 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |