Hathiwala, Suresh C

Hathiwala, Suresh C is an individual health care provider with primary practice located at California Ave 15Th Street Dept Of Medicine, Chicago IL 60608-1797. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Hathiwala, Suresh C can be contacted via phone (773) 257-6552.

Contact Information

Primary practice address
California Ave 15Th Street Dept Of Medicine Chicago IL 60608-1797
Phone: (773) 257-6552
Fax: (773) 257-6027
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X Illinois

Profile Details

NPI number 1508863655
LBN Legal business name Hathiwala, Suresh C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Sep 6th, 2007 - about 17 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 1508863655 NPPES
Illinois Other 1616108 BCBS
Illinois Other C30486 BCBS

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