Nititham, Karoon
Nititham, Karoon is an individual health care provider with primary practice located at 800 Austin St Suite 501, Evanston IL 60202-3439. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Nititham, Karoon can be contacted via phone (847) 905-1001.Contact Information
Primary practice address
800 Austin St Suite 501
Evanston IL 60202-3439
Phone: (847) 905-1001
Fax: (847) 905-1002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 036-0499652 | Illinois |
Profile Details
| NPI number | 1336108901 |
|---|---|
| LBN Legal business name | Nititham, Karoon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Dec 7th, 2010 - about 15 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 | 1336108901 | NPPES |
| Illinois | MEDICAID | 0360499652 |
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