Individual provider · Type 1 NPI

Swati Bavisi, RN, MS, CPNP, APN

Pediatric Nurse Practitioner · Park Ridge, IL

NPI number 1730381302 Active

Practice location

1775 Dempster St
Park Ridge, IL 60068-1143

Call (847) 723-5043 Map

Mailing address

757 W Liberty St, 307
Chicago, IL 60607-5018

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	209006530 (IL)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1730381302

Swati Bavisi, RN, MS, CPNP, APN's National Provider Identifier is 1730381302, issued on Jun 4, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Park Ridge, IL. The record was last updated on Dec 8, 2021.