Provider Demographics
NPI:1184424673
Name:NELLES, SAKINA (RN)
Entity type:Individual
Prefix:
First Name:SAKINA
Middle Name:
Last Name:NELLES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SAKINA
Other - Middle Name:
Other - Last Name:BHARMAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4705 N ALBANY AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-8183
Mailing Address - Country:US
Mailing Address - Phone:630-432-2736
Mailing Address - Fax:
Practice Address - Street 1:676 N SAINT CLAIR ST STE 1200
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-3068
Practice Address - Country:US
Practice Address - Phone:312-695-0562
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041501089163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse