Healthcare Provider Details

I. General information

NPI: 1487512711
Provider Name (Legal Business Name): MS. APARNA NETHAJI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2026
Last Update Date: 01/14/2026
Certification Date: 01/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 RIDGE AVE
EVANSTON IL
60202-3399
US

IV. Provider business mailing address

355 RIDGE AVE
EVANSTON IL
60202-3399
US

V. Phone/Fax

Practice location:
  • Phone: 847-316-4000
  • Fax:
Mailing address:
  • Phone: 847-316-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number041.592216
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: