NINO USANETASHVILI

PARK RIDGE, IL
NPI1396867685
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  036.147400)
Additional Taxonomies207R00000X Internal Medicine
(Licence: NH  13647)
208M00000X Hospitalist
(Licence: NH  13647)
Enumeration Date2007-04-06
Last Update Date2022-09-15
Business Address
NINO USANETASHVILI MD
1775 DEMPSTER ST RM E592B
PARK RIDGE, IL 60068-1143
Phone number: 847-723-8080
Mailing Address
NINO USANETASHVILI MD
29373 NETWORK PL
CHICAGO, IL 60673-1293
Phone number: 847-390-5900