Upadhyay, Nandini

Upadhyay, Nandini is an individual health care provider with primary practice located at 15 Tower Ct Ste 100, Gurnee IL 60031-3336. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Upadhyay, Nandini can be contacted via phone (847) 244-1375.

Contact Information

Primary practice address
15 Tower Ct Ste 100 Gurnee IL 60031-3336
Fax: (847) 244-1002
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036072633 Illinois

Profile Details

NPI number 1235123308
LBN Legal business name Upadhyay, Nandini
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Dec 6th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235123308 NPPES
Illinois MEDICAID 0360372633

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