Basic Information
Provider Information
NPI: 1104053818
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NADIG
FirstName: NANDITA
MiddleName: R
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 675 N SAINT CLAIR ST STE 18-250
Address2:  
City: CHICAGO
State: IL
PostalCode: 606115980
CountryCode: US
TelephoneNumber: 3126951800
FaxNumber: 3126954741
Practice Location
Address1: 675 N SAINT CLAIR ST STE 18-250
Address2:  
City: CHICAGO
State: IL
PostalCode: 606115980
CountryCode: US
TelephoneNumber: 3126951800
FaxNumber: 3126954741
Other Information
ProviderEnumerationDate: 06/20/2009
LastUpdateDate: 12/28/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/28/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0200X36027SCN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207R00000XMD36027SCN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RP1001X36027SCN Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207RP1001X036150466ILY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


Home