Provider Demographics
NPI:1669891602
Name:N JOSHI MD SC
Entity type:Organization
Organization Name:N JOSHI MD SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NALINAKSHA
Authorized Official - Middle Name:V
Authorized Official - Last Name:JOSHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-870-8200
Mailing Address - Street 1:1004 S NA WA TA AVE
Mailing Address - Street 2:
Mailing Address - City:MT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-4161
Mailing Address - Country:US
Mailing Address - Phone:847-870-8200
Mailing Address - Fax:
Practice Address - Street 1:1430 N. ARLINGTON HEIGHTS ROAD SUITE 205
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004
Practice Address - Country:US
Practice Address - Phone:847-870-8200
Practice Address - Fax:847-870-8211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-07
Last Update Date:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0360479252084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036047925Medicaid
IL492980Medicare PIN
ILD89280Medicare UPIN