Provider Demographics
NPI:1376611046
Name:SAWLANI, NARAIN D (MD)
Entity Type:Individual
Prefix:DR
First Name:NARAIN
Middle Name:D
Last Name:SAWLANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2441 W 79TH ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60652-1734
Mailing Address - Country:US
Mailing Address - Phone:773-776-8900
Mailing Address - Fax:773-776-8600
Practice Address - Street 1:2441 W 79TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60652-1734
Practice Address - Country:US
Practice Address - Phone:773-776-8900
Practice Address - Fax:773-776-8600
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2085R0202X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL21609254OtherBLUE CROSS BLUE SHIELD IL
621821Medicare ID - Type Unspecified
C41976Medicare UPIN