Madoori, Sathyakiran B
Madoori, Sathyakiran B is an individual health care provider with primary practice located at 486 Randall Rd Unit B , South Elgin IL 60177-3354. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Madoori, Sathyakiran B can be contacted via phone (224) 783-5000.Contact Information
Primary practice address
486 Randall Rd Unit B
South Elgin IL 60177-3354
Phone: (224) 783-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 4301098766 | Michigan |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036136116 | Illinois |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301098766 | Michigan |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036-136116 | Illinois |
Profile Details
| NPI number | 1164716056 |
|---|---|
| LBN Legal business name | Madoori, Sathyakiran B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2011 |
| Last updated | Feb 28th, 2024 - about last year |
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 | 1164716056 | NPPES |
| Michigan | Other | 4301098766 | STATE LICENSE |
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