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NPI 1144237546

NPI 1144237546 : ANITA NAHEED CARANI MD : CHICAGO, IL

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General NPI Number Information
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    NPI Number           |    1144237546
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    Entity Type          |    Individual 
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    Provider Name        |    ANITA NAHEED CARANI MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/01/2006
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    Last Update Date     |    12/05/2022
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Provider Practice Location Address
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    Address Line         |    6500 W 65TH ST 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60638-4962
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    Country              |    US
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    Telephone            |    708-496-1515
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    Fax                  |    708-496-1788
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Provider Business Mailing Address
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    Address Line         |    2221 W GIDDINGS ST 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60625-2001
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    Country              |    US
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    Telephone            |    708-783-2873
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    Fax                  |    708-783-2874
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    036113669
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    207QA0505X
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    Taxonomy Name        |    Adult Medicine Physician
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    License Number       |    036113669
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    License Number State |    IL
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