Individual
NIKITA SARATH GUMMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3450 OAKTON ST, SKOKIE, IL 60076-2951
(773) 401-4300
Mailing address
4950 N MARINE DR APT 1407, CHICAGO, IL 60640-3996
(847) 791-2915
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
209018623
IL
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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