Provider Demographics
NPI:1417672585
Name:ASRANOVA, GULBAHAR (FNP)
Entity Type:Individual
Prefix:
First Name:GULBAHAR
Middle Name:
Last Name:ASRANOVA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410 LAKE EDGE CT
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60192-1319
Mailing Address - Country:US
Mailing Address - Phone:773-744-2177
Mailing Address - Fax:
Practice Address - Street 1:1555 BARRINGTON RD BLDG 1
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-1099
Practice Address - Country:US
Practice Address - Phone:847-490-6930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.026135363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner