Rajendram, Winston D
Rajendram, Winston D is an individual health care provider with primary practice located at 1850 Gateway Dr , Sycamore IL 60178-3192. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rajendram, Winston D can be contacted via phone (815) 758-8671.Contact Information
Primary practice address
1850 Gateway Dr
Sycamore IL 60178-3192
Phone: (815) 758-8671
Fax: (815) 756-4892
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036120328 | Illinois |
Profile Details
| NPI number | 1659530467 |
|---|---|
| LBN Legal business name | Rajendram, Winston D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2008 |
| Last updated | Feb 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659530467 | NPPES |
| Illinois | Other | 036120238 | STATE LICENSE |
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