Individual provider · Type 1 NPI

Mahitha Gudivada, APN-DNP

Nurse Practitioner · Glenview, IL

NPI number 1194607580 Active

Practice location

2050 Pfingsten Rd Ste 128
Glenview, IL 60026-1324

Fax (847) 733-5291

Mailing address

2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209032218 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1194607580

Mahitha Gudivada, APN-DNP's National Provider Identifier is 1194607580, issued on Jul 24, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Glenview, IL. The record was last updated on Aug 19, 2025.