Panchal, Sujal V

Panchal, Sujal V is an sole proprietor health care provider with primary practice located at 100 Batson Ct Suite 106, New Lenox IL 60451-1564. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Panchal, Sujal V can be contacted via phone (815) 463-9747.

Contact Information

Primary practice address
100 Batson Ct Suite 106 New Lenox IL 60451-1564
Fax: (815) 463-9749
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036119020 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A82152 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301106399 Michigan

Profile Details

NPI number 1629174024
LBN Legal business name Panchal, Sujal V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2006
Last updated Oct 19th, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629174024 NPPES
Illinois MEDICAID 036119020
Illinois MEDICAID HSP40248F

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