Enayat O Osanloo
Nephrologist
120 Spalding Dr Suite 410
Naperville
, Illinois 60540-6508
Enayat O Osanloo
Nephrologist
120 Spalding Dr Suite 410
Naperville
, Illinois 60540-6508
(708) 386-2839
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About
Features
Specialties
- Nephrologist
Languages spoken
- English
Location
First Address
- Enayat O Osanloo
- 855 Madison St
- Oak Park, IL
- Zip : 60302-4420
- Fax : (708) 386-2839
- Phone : (708) 492-4077
Second Address
- Enayat O Osanloo
- 120 Spalding Dr Suite 410
- Naperville, IL
- Zip : 60540-6508
- Fax : (630) 369-0886
- Phone : (630) 369-0780
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RN0300X | Nephrologist | 036052838 | IL |
National Provider Identifier
| NPI | 1073510996 |
|---|---|
| Provider Name | Enayat O Osanloo |
| First Address | Oak Park, IL 60302-4420 |
| Second Address | Naperville, IL 60540-6508 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/07/2005 |
| Last Update Date | 31/07/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036052838 | (05) | IL |
| 1616108 | BCBS (01) | IL |
| C45050 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.