Individual
MS. SWATI BAVISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MS, CPNP, APN
Contact information
Practice address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-5043
Mailing address
757 W LIBERTY ST, 307, CHICAGO, IL 60607-5018
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209006530
IL
Other
Enumeration date
06/04/2007
Last updated
12/08/2021
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