Badri, Susan C

Badri, Susan C is an individual health care provider with primary practice located at 3743 Highland Ave Ste. 1001, Downers Grove IL 60515-1594. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Badri, Susan C can be contacted via phone (630) 435-9888.

Contact Information

Primary practice address
3743 Highland Ave Ste. 1001 Downers Grove IL 60515-1594
Phone: (630) 435-9888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036077405 Illinois

Profile Details

NPI number 1912985722
LBN Legal business name Badri, Susan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Jun 24th, 2008 - about 16 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 1912985722 NPPES
Illinois Other 110208565 RR MEDICARE
Illinois MEDICAID 036077405 RR MEDICARE

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