NINO USANETASHVILI, MD

Internal Medicine

Active Individual
NPI: 1396867685

Practice Address

1775 DEMPSTER ST RM E592B
Park Ridge, IL 60068

Phone: (847) 723-8080

Specialties

Specialty Code Primary License
Internal Medicine 207R00000X Yes 036.147400 (IL)
Hospitalist 208M00000X No 13647 (NH)

Frequently Asked Questions

NPI 1396867685 is the National Provider Identifier for NINO USANETASHVILI, MD, a Internal Medicine provider located in Park Ridge, IL. This NPI was enumerated on April 6, 2007.
NINO USANETASHVILI, MD practices at 1775 DEMPSTER ST RM E592B, Park Ridge, IL 60068.

Quick Facts

NPI
1396867685
Type
Individual
Enumerated
Apr 6, 2007
Last Updated
Sep 15, 2022

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