MEDICARE: SIANI NGANDJUI APRN, CRNA

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	367500000X	Certified Registered Nurse Anesthetist	209033645	IL

General Provider Information

NPI Number	:	1912870221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIANI NGANDJUI APRN, CRNA

Provider Business Mailing Address
First Line	:	251 E HURON ST STE 5-704
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-2908
Country	:	US
Telephone Number	:	312-695-5395
Fax Number	:	312-695-9013

Provider Business Practice Location Address
First Line	:	251 E HURON ST STE 5-704
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-2908
Country	:	US
Telephone Number	:	312-695-5395
Fax Number	:	312-695-9013

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

Provider Enumeration Date	:	09/24/2025
Last Update Date	:	02/03/2026

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