Provider Demographics
NPI:1245299031
Name:BRAR, CHARANJIT K (RN, ACNP)
Entity type:Individual
Prefix:MS
First Name:CHARANJIT
Middle Name:K
Last Name:BRAR
Suffix:
Gender:F
Credentials:RN, ACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6437 DAVANE CT
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60516-3057
Mailing Address - Country:US
Mailing Address - Phone:630-960-3603
Mailing Address - Fax:312-569-7346
Practice Address - Street 1:JBVA MEDICAL CENTER
Practice Address - Street 2:820 S DAMEN AVE
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60608
Practice Address - Country:US
Practice Address - Phone:312-569-6618
Practice Address - Fax:312-569-7346
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL41259486163WC0200X
IL363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
Not Answered363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care