Pethkar, Sanjay
Pethkar, Sanjay is an individual health care provider with primary practice located at 13415 S Route 59 , Plainfield IL 60585-5676. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Pethkar, Sanjay can be contacted via phone (815) 609-3627.Contact Information
Primary practice address
13415 S Route 59
Plainfield IL 60585-5676
Phone: (815) 609-3627
Fax: (815) 609-1328
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036091255 | Illinois |
Profile Details
| NPI number | 1134181829 |
|---|---|
| LBN Legal business name | Pethkar, Sanjay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Nov 15th, 2011 - about 13 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 | 1134181829 | NPPES |
| Illinois | MEDICAID | 036091255 |
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