Shoush, Sittanur

Shoush, Sittanur is an sole proprietor health care provider with primary practice located at 25 N. Winfield Rd Ste 401 , Winfield IL 60190. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Shoush, Sittanur can be contacted via phone (630) 933-4200.

Contact Information

Primary practice address
25 N. Winfield Rd Ste 401 Winfield IL 60190
Phone: (630) 933-4200
Fax: (630) 933-4210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036125417 Illinois

Profile Details

NPI number 1083860613
LBN Legal business name Shoush, Sittanur
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2008
Last updated Dec 16th, 2014 - about 12 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 1083860613 NPPES
Illinois Other 206147 MEDICARE PTAN (GROUP)
Illinois Other F400172817 MEDICARE PTAN (GROUP)
Illinois MEDICAID 036125417 MEDICARE PTAN (GROUP)

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