Mathur, Virendra
Mathur, Virendra is an individual health care provider with primary practice located at 4901 W 79Th. St. Suite 5 Midway Internal Medicine S.C, Burbank IL 60459. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mathur, Virendra can be contacted via phone (708) 952-4403.Contact Information
Primary practice address
4901 W 79Th. St. Suite 5 Midway Internal Medicine S.C
Burbank IL 60459
Phone: (708) 952-4403
Fax: (708) 952-4404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036075691 | Illinois |
Profile Details
| NPI number | 1689627010 |
|---|---|
| LBN Legal business name | Mathur, Virendra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | May 26th, 2009 - about 17 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 | 1689627010 | NPPES |
| Illinois | MEDICAID | 036075691 |
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