Didwania, Suresh K

Didwania, Suresh K is an individual health care provider with primary practice located at 555 W Court St Suite 400, Kankakee IL 60901-3664. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Didwania, Suresh K can be contacted via phone (815) 932-4614.

Contact Information

Primary practice address
555 W Court St Suite 400 Kankakee IL 60901-3664
Phone: (815) 932-4614
Fax: (815) 932-4615
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36093263 Illinois

Profile Details

NPI number 1093777880
LBN Legal business name Didwania, Suresh K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Jan 23rd, 2014 - 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 1093777880 NPPES
Illinois Other 202872416 TAX ID
Illinois MEDICAID 036093263 TAX ID

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