Individual
JYOTI EKNOOR BRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.B.B.S.
Contact information
Practice address
1000 CENTRAL ST STE 800, EVANSTON, IL 60201-1780
(847) 570-2512
Mailing address
1000 CENTRAL ST STE 800, EVANSTON, IL 60201-1780
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
59844
WI
207RH0005X
Hypertension Specialist Physician
59844
WI
207RN0300X
Nephrology Physician
Primary
036172320
IL
207RN0300X
Nephrology Physician
59844
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F34985304
—
MI
Enumeration date
04/25/2010
Last updated
10/16/2024
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