MS. ATEFEH DJAVID AGACNP NPI 1336789379

NPI Information

NPI: 1336789379
Provider Name: MS. ATEFEH DJAVID, AGACNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
5841 S MARYLAND AVE
CHICAGO, IL
ZIP 60637
Phone: (773) 702-1000
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MS. Atefeh Djavid, AGACNP is a gerontology nurse practitioner in Chicago, IL. MS. Atefeh Djavid, AGACNP NPI is 1336789379. 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:

5841 S MARYLAND AVE
CHICAGO, IL
ZIP 60637-443
Phone: (773) 702-1000

The NPI 1336789379 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/7/2020 and was last updated on 1/7/2020.

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	363LA2100X	Nurse Practitioner	Acute Care	209020285	ILLINOIS	No
2	363LG0600X	Nurse Practitioner	Gerontology	209020285	ILLINOIS	Yes

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: 4/28/2024

NPI Synchronization or Removal

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