Individual
PRANUSHA NAIDU BAXI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
420 S SCHMIDT RD, SUITE 110, BOLINGBROOK, IL 60440
(450) 563-0312
Mailing address
420 S SCHMIDT ROAD, SUITE 110, BOLINGBROOK, IL 60440
(630) 312-4562
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
1487187506
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2017
Last updated
03/03/2025
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