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NPI Code Detail

MEDICARE: ANITA NARAYAN SWAMY M.D.

MEDICARE:   ANITA NARAYAN SWAMY  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080P0205XPediatric Endocrinology PhysicianBP20027659TX
22080P0205XPediatric Endocrinology Physician036121595IL

General Provider Information

NPI Number : 1255546842
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANITA NARAYAN SWAMY M.D.
Provider Business Mailing Address
First Line : 621 PLAINFIELD RD
Second Line : STE 105
City : WILLOWBROOK
State : IL
Zip : 60527
Country : US
Telephone Number : 630-321-9811
Fax Number : 630-321-9813
Provider Business Practice Location Address
First Line : 6501 S PROMONTORY DR
Second Line :
City : CHICAGO
State : IL
Zip : 60649-1003
Country : US
Telephone Number : 773-363-6700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2007
Last Update Date : 07/09/2012

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