Healthcare Provider Details

I. General information

NPI: 1437996600
Provider Name (Legal Business Name): DR. NISHA CAROLINE HOWARTH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2024
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5841 S. MARYLAND AVE MAIL CODE 4076
CHICAGO IL
60637
US

IV. Provider business mailing address

180 HARVESTER DR. STE 110
BURR RIDGE IL
60527-6686
US

V. Phone/Fax

Practice location:
  • Phone: 773-795-1824
  • Fax: 773-702-2182
Mailing address:
  • Phone: 773-702-1150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number036.175779
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207RT0003X
TaxonomyTransplant Hepatology Physician
License Number036.175779
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: