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NPI Code Detail

MEDICARE: ANISHA CATHERINE DHAN

MEDICARE: ANISHA CATHERINE DHAN
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner209025237IL

General Provider Information

NPI Number : 1710625686
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANISHA CATHERINE DHAN
Provider Business Mailing Address
First Line : 2735 HASSERT BLVD
Second Line : SUITE 135 PMB 2226
City : NAPERVILLE
State : IL
Zip : 60564-5205
Country : US
Telephone Number : 331-329-2585
Fax Number : 866-283-0178
Provider Business Practice Location Address
First Line : 2701 W 68TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60629-1813
Country : US
Telephone Number : 773-884-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2022
Last Update Date : 05/19/2026

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Directions to “ ANISHA CATHERINE DHAN ” Practice Location

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