Marimuthu, Subbashini

Marimuthu, Subbashini is an individual health care provider with primary practice located at 1155 N Main St Ste. A, Glendale Heights IL 60139-3508. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Marimuthu, Subbashini can be contacted via phone (630) 545-1116.

Contact Information

Primary practice address
1155 N Main St Ste. A Glendale Heights IL 60139-3508
Fax: (630) 545-1117
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019026028 Illinois

Profile Details

NPI number 1265443477
LBN Legal business name Marimuthu, Subbashini
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Jun 23rd, 2016 - about 8 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 1265443477 NPPES
Other 331048209 IRS INDIVIDUAL TAX PAYER

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