Nagabhairava, Sushma
Nagabhairava, Sushma is an individual health care provider with primary practice located at 15505 E 127Th St Ste 100 , Lemont IL 60439-4433. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Nagabhairava, Sushma can be contacted via phone (630) 257-5400.Contact Information
Primary practice address
15505 E 127Th St Ste 100
Lemont IL 60439-4433
Phone: (630) 257-5400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036-134615 | Illinois |
Profile Details
| NPI number | 1710265822 |
|---|---|
| LBN Legal business name | Nagabhairava, Sushma |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2011 |
| Last updated | Mar 19th, 2019 - about 6 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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