Healthcare Provider Details

I. General information

NPI: 1447824669
Provider Name (Legal Business Name): AKANKSH RAMANAND
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2021
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 N NORTHWEST HWY STE 303
PARK RIDGE IL
60068-1460
US

IV. Provider business mailing address

210 S DESPLAINES ST FL 1
CHICAGO IL
60661-5544
US

V. Phone/Fax

Practice location:
  • Phone: 847-294-5160
  • Fax:
Mailing address:
  • Phone: 312-654-2721
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number036169665
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: