MEDICARE: CAROLINE NAWARA 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
1	207R00000X	Internal Medicine Physician	036081137	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851388995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE NAWARA M.D.

Provider Business Mailing Address
First Line	:	401 S STATE ST
Second Line	:	SUITE 430
City	:	CHICAGO
State	:	IL
Zip	:	60605-1229
Country	:	US
Telephone Number	:	312-789-4677
Fax Number	:	312-789-4676

Provider Business Practice Location Address
First Line	:	401 S STATE ST
Second Line	:	SUITE 430
City	:	CHICAGO
State	:	IL
Zip	:	60605-1229
Country	:	US
Telephone Number	:	312-789-4677
Fax Number	:	312-789-4676

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2005
Last Update Date	:	10/23/2014

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Directions to “ CAROLINE NAWARA M.D.” Practice Location

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