Provider Demographics
NPI:1831819416
Name:SAINI, NAVJOT
Entity type:Individual
Prefix:
First Name:NAVJOT
Middle Name:
Last Name:SAINI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:NAVJOT
Other - Middle Name:
Other - Last Name:SAINI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN
Mailing Address - Street 1:4525 CARLISLE DR
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60012-2145
Mailing Address - Country:US
Mailing Address - Phone:847-826-3071
Mailing Address - Fax:
Practice Address - Street 1:25 TELSER RD
Practice Address - Street 2:
Practice Address - City:LAKE ZURICH
Practice Address - State:IL
Practice Address - Zip Code:60047-3600
Practice Address - Country:US
Practice Address - Phone:847-847-1993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-01
Last Update Date:2022-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
IL209.025945363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program