Chaudhuri, Sarmistha

Chaudhuri, Sarmistha is an individual health care provider with primary practice located at 2160 S First Ave Bldg 104 Room 5376, Maywood IL 60153. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Chaudhuri, Sarmistha can be contacted via phone (708) 216-6705.

Contact Information

Primary practice address
2160 S First Ave Bldg 104 Room 5376 Maywood IL 60153
Fax: (708) 216-5884
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036096998 Illinois
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 036096998 Illinois

Profile Details

NPI number 1366411423
LBN Legal business name Chaudhuri, Sarmistha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Dec 7th, 2012 - 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 1366411423 NPPES
Illinois MEDICAID 036096998

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