Sandoval, Maryam N.
Sandoval, Maryam N. is an individual health care provider with primary practice located at 133 E Brush Hill Rd Ste 401 , Elmhurst IL 60126-5659. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Sandoval, Maryam N. can be contacted via phone (630) 932-2020.Contact Information
Primary practice address
133 E Brush Hill Rd Ste 401
Elmhurst IL 60126-5659
Phone: (630) 932-2020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036-098591 | Illinois |
Profile Details
| NPI number | 1831140490 |
|---|---|
| LBN Legal business name | Sandoval, Maryam N. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Aug 18th, 2023 - about last year |
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 | 1831140490 | NPPES |
| Illinois | MEDICAID | 036-098591 |
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