Kurien, Shaun

Kurien, Shaun is an sole proprietor health care provider with primary practice located at 1775 W Dempster St , Park Ridge IL 60068-1143. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Kurien, Shaun can be contacted via phone (847) 723-7997.

Contact Information

Primary practice address
1775 W Dempster St Park Ridge IL 60068-1143
Phone: (847) 723-7997
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036120790 Illinois
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036-120790 Illinois

Profile Details

NPI number 1285608976
LBN Legal business name Kurien, Shaun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2006
Last updated Jun 11th, 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 1285608976 NPPES
Minnesota MEDICAID 428142000

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