Archana A Dave, MS, MBA

Individual provider Active NPI Driver · Gurnee, IL

NPI 1003813007 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1003813007
Entity type
Individual (NPI type 1)
Primary specialty
Driver 172A00000X
License
D10000162915 (IL)
Practice address
1091 Whittington CT
Gurnee, IL 60031-4023
Phone
(847) 414-7684
NPI assigned
Jul 5, 2005
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Business Administration, Master of Science

State licenses

LicenseStateTypeSpecialty
D10000162915ILMDDriver

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X D10000162915 IL Yes

Addresses

Primary practice location

1091 Whittington CT
Gurnee, IL 60031-4023

Mailing address

1091 Whittington CT
Gurnee, IL 60031-4023
Phone (847) 414-7684

Other providers in Gurnee, IL

All providers in Gurnee, IL · Driver in Illinois

Sources for this page

Verify at the official NPI Registry.