Nina Budhwani, NP

Key facts

NPI

1992476691

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

209022846 (IL)

Practice address

6300 N River Rd Ste a&100B
Rosemont, IL 60018-4206

Phone

(847) 787-7144

NPI assigned

Sep 22, 2021

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

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: nina.budhwani.1@14940.direct.athenahealth.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 14, 2022.

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1992476691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 E STANTON CT",
            "city": "ROUND LAKE BEACH",
            "state": "IL",
            "postal_code": "600734876",
            "telephone_number": "847-833-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 N RIVER RD STE A&100B",
            "city": "ROSEMONT",
            "state": "IL",
            "postal_code": "600184206",
            "telephone_number": "847-787-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDHWANI",
        "first_name": "NINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209022846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemont, IL

• Avaya Therapy, LTD
• Kristine Mae Martinez Banas, RPT
• Faith Beronio, PT
• Steve James Betzelos
• Matthew Brod, RN
• Tennesee Iris Ramos Carayo, PT
• Caring Touch Inc.
• Kevin C Carney X, M.D.
• Chicago Aesthetic Surgery Institute, Inc.
• Chicago Rehabilitation Collective LLC

All providers in Rosemont, IL · Family Nurse Practitioner in Illinois