Puthenveetil, Peter Joseph

Puthenveetil, Peter Joseph is an sole proprietor health care provider with primary practice located at 401 Greenleaf St Ste 1, Park City IL 60085-5744. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Puthenveetil, Peter Joseph can be contacted via phone (847) 662-0978.

Contact Information

Primary practice address
401 Greenleaf St Ste 1 Park City IL 60085-5744
Phone: (847) 662-0978
Fax: (847) 662-1395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036108104 Illinois

Profile Details

NPI number 1538268230
LBN Legal business name Puthenveetil, Peter Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2006
Last updated Jan 21st, 2011 - about 15 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 1538268230 NPPES
Illinois MEDICAID 036108104

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