Individual
ANASTASIYA HAVRYLYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1875 DEMPSTER ST STE 625, PARK RIDGE, IL 60068-1137
(847) 723-4088
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209020039
IL
Other
Enumeration date
02/14/2021
Last updated
04/06/2026
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