Individual
DR. PREMA NANAVATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1725 W HARRISON ST STE 264, CHICAGO, IL 60612-3844
(312) 563-2100
Mailing address
1725 W HARRISON ST STE 264, CHICAGO, IL 60612-3844
(312) 563-2100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036138746
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036138746
IL
207RP1001X
Pulmonary Disease Physician
Primary
036138746
IL
Other
Enumeration date
06/02/2008
Last updated
02/21/2025
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