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
Fax: (309) 672-3147
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932195880 NPPES
Illinois MEDICAID 036105660
Illinois Other IL2690008

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