Healthcare Provider Details

I. General information

NPI: 1295671402
Provider Name (Legal Business Name): GAURANGI AMIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

799 CENTRAL AVE STE 210
HIGHLAND PARK IL
60035-5639
US

IV. Provider business mailing address

1990 MCCRAREN RD
HIGHLAND PARK IL
60035-2229
US

V. Phone/Fax

Practice location:
  • Phone: 847-748-8870
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: