Provider Demographics
NPI:1548285414
Name:GEHANI, SEJAL (FNP)
Entity type:Individual
Prefix:
First Name:SEJAL
Middle Name:
Last Name:GEHANI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 N MICHIGAN AVE
Mailing Address - Street 2:STE 2100
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-3773
Mailing Address - Country:US
Mailing Address - Phone:312-751-1946
Mailing Address - Fax:
Practice Address - Street 1:500 N MICHIGAN AVE
Practice Address - Street 2:STE 2100
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-3773
Practice Address - Country:US
Practice Address - Phone:312-276-1212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209-00490363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily