ROMA H VENKATESAN NPI 1700245438

NPI Information

NPI: 1700245438
Provider Name: ROMA H VENKATESAN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
800 BIESTERFIELD ROAD CANCER INSTITUTE
SUITE 120
ELK GROVE VILLAGE, IL
ZIP 60007
Phone: (847) 952-7929
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Roma H Venkatesan is a family nurse practitioner in Elk Grove Village, IL. Roma H Venkatesan NPI is 1700245438. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

800 BIESTERFIELD ROAD CANCER INSTITUTE
SUITE 120
ELK GROVE VILLAGE, IL
ZIP 60007
Phone: (847) 952-7929
Fax: (630) 893-1467

The NPI 1700245438 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 2/23/2016 and was last updated on 12/12/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	209013761	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	209013761	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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