Sia, Imelda Andaya
Sia, Imelda Andaya is an individual health care provider with primary practice located at 113 W Lake St , Bloomingdale IL 60108-1006. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Sia, Imelda Andaya can be contacted via phone (630) 894-8600.Contact Information
Primary practice address
113 W Lake St
Bloomingdale IL 60108-1006
Phone: (630) 894-8600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036087532 | Illinois |
Profile Details
| NPI number | 1013968239 |
|---|---|
| LBN Legal business name | Sia, Imelda Andaya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Nov 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013968239 | NPPES |
| Illinois | Other | 1740404680 | MEDICARE GROUP NPI |
| Illinois | MEDICAID | 036087532 | MEDICARE GROUP NPI |
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