MEDICARE: DR. DAVID AARON NAYAK 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	036133505	IL
2	207K00000X	Allergy & Immunology Physician	036133505	IL

General Provider Information

NPI Number	:	1902117302
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID AARON NAYAK M.D.

Provider Business Mailing Address
First Line	:	2136 W BELMONT AVE STE 1
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-6435
Country	:	US
Telephone Number	:	312-888-1475
Fax Number	:

Provider Business Practice Location Address
First Line	:	2136 W BELMONT AVE STE 1
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-6435
Country	:	US
Telephone Number	:	312-888-1475
Fax Number	:

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

Provider Enumeration Date	:	06/30/2010
Last Update Date	:	07/22/2022

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