Individual
RUVINI DEVAS GUNAWARDHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-CNP
Contact information
Practice address
1122 WILLOW RD, NORTHBROOK, IL 60062-6824
(847) 686-4444
Mailing address
1122 WILLOW RD, NORTHBROOK, IL 60062-6824
(847) 686-4444
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209011230
IL
363LF0000X
Family Nurse Practitioner
209.011230
IL
Other
Enumeration date
04/06/2016
Last updated
04/06/2026
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