Healthcare Provider Details

I. General information

NPI: 1376611046
Provider Name (Legal Business Name): NARAIN D SAWLANI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2441 W 79TH ST
CHICAGO IL
60652-1734
US

IV. Provider business mailing address

2441 W 79TH ST
CHICAGO IL
60652-1734
US

V. Phone/Fax

Practice location:
  • Phone: 773-776-8900
  • Fax: 773-776-8600
Mailing address:
  • Phone: 773-776-8900
  • Fax: 773-776-8600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: