Usanetashvili, Nino

Usanetashvili, Nino is an individual health care provider with primary practice located at 1775 Dempster St Rm E592B , Park Ridge IL 60068-1143. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Usanetashvili, Nino can be contacted via phone (847) 723-8080.

Contact Information

Primary practice address
1775 Dempster St Rm E592B Park Ridge IL 60068-1143
Phone: (847) 723-8080
Fax: (847) 723-4378
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 13647 New Hampshire
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 13647 New Hampshire
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036.147400 Illinois

Profile Details

NPI number 1396867685
LBN Legal business name Usanetashvili, Nino
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Sep 15th, 2022 - about 4 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.

Request for update

Popular Providers