Mundada, Santoshkumar S
Mundada, Santoshkumar S is an sole proprietor health care provider with primary practice located at 707 Westwind Dr , New Lenox IL 60451-9219. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Mundada, Santoshkumar S can be contacted via phone (708) 743-8801.Contact Information
Primary practice address
707 Westwind Dr
New Lenox IL 60451-9219
Phone: (708) 743-8801
Fax: (773) 527-2812
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 146005282 | Illinois |
Profile Details
| NPI number | 1154395093 |
|---|---|
| LBN Legal business name | Mundada, Santoshkumar S |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 16th, 2006 |
| Last updated | Oct 21st, 2010 - about 16 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 | 1154395093 | NPPES |
| Illinois | Other | 01632881 | BCBS OF IL |
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