Healthcare Provider Details

I. General information

NPI: 1609079219
Provider Name (Legal Business Name): ANJANA NAIR M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2007
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 DELNOR DR STE 401
GENEVA IL
60134-4235
US

IV. Provider business mailing address

351 DELNOR DR STE 401
GENEVA IL
60134-4235
US

V. Phone/Fax

Practice location:
  • Phone: 630-933-4056
  • Fax: 630-938-4370
Mailing address:
  • Phone: 630-933-4056
  • Fax: 630-938-4370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number036125798
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number036.125798
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License Number036125798
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: