Sakala, Surekha
Sakala, Surekha is an sole proprietor health care provider with primary practice located at 900 N Lake St , Aurora IL 60506-2535. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Sakala, Surekha can be contacted via phone (630) 892-0015.Contact Information
Primary practice address
900 N Lake St
Aurora IL 60506-2535
Phone: (630) 892-0015
Fax: (630) 892-9902
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | Illinois |
Profile Details
| NPI number | 1205825817 |
|---|---|
| LBN Legal business name | Sakala, Surekha |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1205825817 | NPPES |
| Illinois | MEDICAID | 1004389 |
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