Chaudhuri, Sarmistha
Chaudhuri, Sarmistha is an individual health care provider with primary practice located at 2160 S First Ave Bldg 104 Room 5376, Maywood IL 60153. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Chaudhuri, Sarmistha can be contacted via phone (708) 216-6705.Contact Information
Primary practice address
2160 S First Ave Bldg 104 Room 5376
Maywood IL 60153
Phone: (708) 216-6705
Fax: (708) 216-5884
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036096998 | Illinois |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 036096998 | Illinois |
Profile Details
| NPI number | 1366411423 |
|---|---|
| LBN Legal business name | Chaudhuri, Sarmistha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Dec 7th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366411423 | NPPES |
| Illinois | MEDICAID | 036096998 |
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