Chittivelu, Subramanyam
Chittivelu, Subramanyam is an individual health care provider with primary practice located at 1001 Main St Suite 200, Peoria IL 61606-1907. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Chittivelu, Subramanyam can be contacted via phone (309) 672-5682.Contact Information
Primary practice address
1001 Main St Suite 200
Peoria IL 61606-1907
Phone: (309) 672-5682
Fax: (309) 672-3147
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 036105660 | Illinois |
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 036105660 | Illinois |
Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 036105660 | Illinois |
Profile Details
NPI number | 1932195880 |
---|---|
LBN Legal business name | Chittivelu, Subramanyam |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 26th, 2005 |
Last updated | Jul 12th, 2010 - about 15 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 | 1932195880 | NPPES |
Illinois | MEDICAID | 036105660 | |
Illinois | Other | IL2690008 |
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