Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 036113669 | IL |
NPI | 1144237546 |
---|---|
Provider Name | Dr. Anita Naheed Carani |
First Address | Chicago, IL 60625-2001 |
Second Address | Chicago, IL 60638-4962 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 29/12/2010 |