Individual
RANJEEV K NANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
(847) 570-2590
Mailing address
9818 EAGLE WAY, CHICAGO, IL 60678-1098
(847) 570-2590
(630) 285-1490
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036-088238
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036088238
—
IL
Enumeration date
09/28/2006
Last updated
07/30/2010
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