Provider Demographics
NPI:1669028627
Name:NAHI, SKYLAR
Entity Type:Individual
Prefix:
First Name:SKYLAR
Middle Name:
Last Name:NAHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NORTHWESTERN MEDICINE MCGAW MEDICAL CENTER
Mailing Address - Street 2:240 E HURON STREET, SUITE 1-200
Mailing Address - City:CHICAGO
Mailing Address - State:ID
Mailing Address - Zip Code:60611-2908
Mailing Address - Country:US
Mailing Address - Phone:312-503-7975
Mailing Address - Fax:
Practice Address - Street 1:NORTHWESTERN MEDICINE MCGAW MEDICAL CENTER
Practice Address - Street 2:240 E HURON STREET, SUITE 1-200
Practice Address - City:CHICAGO
Practice Address - State:ID
Practice Address - Zip Code:60611-2908
Practice Address - Country:US
Practice Address - Phone:312-503-7975
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-15
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program