Kaistha, Vivek
Kaistha, Vivek is an individual health care provider with primary practice located at 6703 159Th St 103, Tinley Park IL 60477-1781. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kaistha, Vivek can be contacted via phone (708) 342-3000.Contact Information
Primary practice address
6703 159Th St 103
Tinley Park IL 60477-1781
Phone: (708) 342-3000
Fax: (708) 342-3060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036088189 | Illinois |
Profile Details
| NPI number | 1053311407 |
|---|---|
| LBN Legal business name | Kaistha, Vivek |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Mar 18th, 2021 - about 3 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 | 1053311407 | NPPES |
| Illinois | MEDICAID | 036088189 |
Popular Providers
-
Jain, Dinesh K
16532 Oak Park Ave Suite 101, Tinley Park IL 60477-1918 -
Tolentino, Angelica L
17495 La Grange Rd , Tinley Park IL 60487-7581 -
Chugh, Rakesh
17732 Oak Park Ave Ste E-F , Tinley Park IL 60477-3934 -
Ibrahim, Hassan A
16650 Harlem Ave Suite C, Tinley Park IL 60477-1847 -
Shamshuddin, Mohammad
6703 159Th St Suite 103, Tinley Park IL 60477-1781 -
Will, William
17148 Harlem Ave , Tinley Park IL 60477-3370 -
Rangineni, Sumathi M
18210 La Grange Rd Ste 200, Tinley Park IL 60477-7722 -
Varghese, Jolly Susan
7600 W. 183Rd St , Tinley Park IL 60477-3690