Individual
FNU SHIVANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 N LAKE SHORE DR # A, CHICAGO, IL 60657-5640
(773) 665-3017
Mailing address
2900 N LAKE SHORE DR # A, CHICAGO, IL 60657-5640
(773) 665-3017
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036179086
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2023
Last updated
04/15/2026
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