Pithadia, Anish Pravin

Pithadia, Anish Pravin is an individual health care provider with primary practice located at 3633 W Lake Ave Ste 108 , Glenview IL 60026-5801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pithadia, Anish Pravin can be contacted via phone (847) 510-2805.

Contact Information

Primary practice address
3633 W Lake Ave Ste 108 Glenview IL 60026-5801
Fax: (847) 510-2806
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-116564 Illinois

Profile Details

NPI number 1417074774
LBN Legal business name Pithadia, Anish Pravin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Nov 14th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417074774 NPPES
Illinois Other 1619414 BCBS GRP
Illinois MEDICAID 3633309286030501 BCBS GRP

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