Provider Demographics
NPI:1669916367
Name:AKILEH, NADI (DNP)
Entity type:Individual
Prefix:
First Name:NADI
Middle Name:
Last Name:AKILEH
Suffix:
Gender:M
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13724 W MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:IL
Mailing Address - Zip Code:60442-8189
Mailing Address - Country:US
Mailing Address - Phone:708-668-3534
Mailing Address - Fax:
Practice Address - Street 1:13724 W MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:IL
Practice Address - Zip Code:60442-8189
Practice Address - Country:US
Practice Address - Phone:708-668-3534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-14
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209015470367500000X
IL041401444163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse