Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nino Usanetashvili, MD

Individual provider Internal Medicine Physician · NPI 1396867685

Nino Usanetashvili, MD is an Internal Medicine in Park Ridge, Illinois. Qualified in 2003, 23 years ago. Practices with Advocate Health and Hospitals Corporation, a 3,079-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and New Hampshire.

Years since qualifying
23
Licensed in
IL, NH
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1775 Dempster St Rm E592B
Park Ridge, IL 60068-1143
Phone: (847) 723-8080
Fax: (847) 723-4378
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 80 Highland St, Laconia, NH 03246-3235 — (603) 524-3211

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036.147400 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 13647 (NH)
Hospitalist Physician Taxonomy 208M00000X · Licence 13647 (NH)

Record details

NPI number1396867685
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2007
Last updated in NPPESSeptember 15, 2022
Certification dateSeptember 15, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPITALIST
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Advocate Health And Hospitals Corporation — 3079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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