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Contact Information

SAARIM M ANSARI, FNP-BC
741 S MCHENRY AVE
CRYSTAL LAKE, IL60014-7445
 Phone: 815-770-2780
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Home Health

163WH0200X
Indicates primary specialty

NPI Profile & details for SAARIM M ANSARI · (Male)

NPI Number 1831687565
Status Active
Credentials FNP-BC (Family Nurse Practitioner)
Entity Individual
Enumeration date 04/27/2018
Last updated 07/26/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 041.461804
  • IL License # 209024563
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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