Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 036121595 | IL |
N | 2080P0205X | Pediatric Endocrinologist | BP20027659 | TX |
NPI | 1255546842 |
---|---|
Provider Name | Anita Narayan Swamy |
First Address | Willowbrook, IL 60527 |
Second Address | Chicago, IL 60649-1003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2007 |
Last Update Date | 09/07/2012 |