Sunder, Theodore R

Sunder, Theodore R is an individual health care provider with primary practice located at 421 N 9Th St , Springfield IL 62702-5317. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Sunder, Theodore R can be contacted via phone (217) 757-6888.

Contact Information

Primary practice address
421 N 9Th St Springfield IL 62702-5317
Phone: (217) 757-6888
Fax: (217) 757-6869
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 036-088538 Illinois

Profile Details

NPI number 1255315065
LBN Legal business name Sunder, Theodore R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Apr 8th, 2016 - about 10 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 1255315065 NPPES
Illinois MEDICAID 036088538

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