Iyer, Balasubramaniam S

Iyer, Balasubramaniam S is an sole proprietor health care provider with primary practice located at 1945 W Wilson Avenue Suite #2115, Chicago IL 60640-5255. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Iyer, Balasubramaniam S can be contacted via phone (773) 878-5225.

Contact Information

Primary practice address
1945 W Wilson Avenue Suite #2115 Chicago IL 60640-5255
Phone: (773) 878-5225
Fax: (773) 878-5661
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 036046165 Illinois
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 036046165 Illinois

Profile Details

NPI number 1497890750
LBN Legal business name Iyer, Balasubramaniam S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2007
Last updated Apr 21st, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1497890750 NPPES
Illinois MEDICAID 36046165

Popular Providers