Healthcare Provider Details

I. General information

NPI: 1982158762
Provider Name (Legal Business Name): NAUREEN SAJWANI RD, LDN, CNSC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2016
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

259 E ERIE ST STE 1600
CHICAGO IL
60611-3111
US

IV. Provider business mailing address

259 E ERIE ST STE 1600
CHICAGO IL
60611-3111
US

V. Phone/Fax

Practice location:
  • Phone: 312-695-5620
  • Fax: 312-695-7095
Mailing address:
  • Phone: 312-695-5620
  • Fax: 312-695-7095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number164005672
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: