Dr. Nishant Srinivasan, M.D.
Pediatrics, Neonatal-Perinatal Medicine in Berwyn, IL. Individual provider (NPI-1).
NPI number1649582503
StatusActive
Last updated in NPPESSep 22, 2026
Details
- NPI
- 1649582503
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nishant Srinivasan
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2010
- Certification date
- Sep 22, 2026
- Last updated
- Sep 22, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | 036130726 | IL | Yes |
| 208000000X | Pediatrics | 125055748 | IL | |
| 208M00000X | Hospitalist | 036130726 | IL |
Practice location
3249 Oak Park AveBerwyn, IL 60402-3429
Phone 708-783-2226
Mailing address
8201 E Riverside BlvdRockford, IL 61114-2300
Phone 815-971-7000
Other practice locations
8201 E Riverside Blvd
Rockford, IL 61114-2300
Rockford, IL 61114-2300
Phone 815-971-7000
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