Odell, Sean Daniel

Odell, Sean Daniel is an individual health care provider with primary practice located at 901 Biesterfield Rd Ste 300 , Elk Grove Village IL 60007-7324. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Odell, Sean Daniel can be contacted via phone (847) 437-9889.

Contact Information

Primary practice address
901 Biesterfield Rd Ste 300 Elk Grove Village IL 60007-7324
Phone: (847) 437-9889
Fax: (847) 437-4149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 36112610 Illinois

Profile Details

NPI number 1518981612
LBN Legal business name Odell, Sean Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Feb 16th, 2022 - about 2 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 1518981612 NPPES
Illinois Other P00376430 MEDICARE RAILROAD
Illinois MEDICAID 036112610 MEDICARE RAILROAD
Illinois MEDICAID 2570089 MEDICARE RAILROAD
Illinois Other 36112610 MEDICARE RAILROAD
Illinois Other 212020 MEDICARE RAILROAD

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