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Nirav Nicholas Antao, DO
Hematology & Oncology Physician in Maywood, Illinois
NPI 1619321031

Nirav Nicholas Antao is a Hematology & Oncology Physician based in Maywood, IL and is specialized in Hematology & Oncology. Nirav Nicholas Antao practices in Maywood, IL and has the professional credentials of DO. The NPI Number for Nirav Nicholas Antao is 1619321031 and holds a License No. (Illinois).

The current practice location address for Nirav Nicholas Antao is 2160 S 1St Ave, Maywood, IL and can be reached out via phone at 708-216-3323.

Location: 2160 S 1St Ave, Maywood, IL, 60153-3328
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619321031
Provider Name
Nirav Nicholas Antao
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2160 S 1St Ave, Maywood, IL, 60153-3328
Phone Number
708-216-3323
Fax Number
Provider Enumeration Date
04/21/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
708-216-3323
Fax Number
person
Provider Business Mailing Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
708-216-3323
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
036.155730 (Illinois)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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