Healthcare Provider Details

I. General information

NPI: 1831819416
Provider Name (Legal Business Name): NAVJOT SAINI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: NAVJOT SAINI APRN

II. Dates (important events)

Enumeration Date: 09/01/2022
Last Update Date: 09/25/2022
Certification Date: 09/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 TELSER RD
LAKE ZURICH IL
60047-3600
US

IV. Provider business mailing address

4525 CARLISLE DR
PRAIRIE GROVE IL
60012-2145
US

V. Phone/Fax

Practice location:
  • Phone: 847-847-1993
  • Fax:
Mailing address:
  • Phone: 847-826-3071
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209.025945
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: