Individual
PURVI GABHAWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
150 N RIVER RD, DES PLAINES, IL 60016-1272
(847) 290-1300
Mailing address
1112 SANDHURST LN, CAROL STREAM, IL 60188-4348
(631) 605-2916
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209024148
IL
Other
Enumeration date
10/16/2021
Last updated
10/16/2021
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