Santillan, Concepcion Esteban
Santillan, Concepcion Esteban is an individual health care provider with primary practice located at 4500 Memorial Dr Ste 400 , Belleville IL 62226-5360. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Santillan, Concepcion Esteban can be contacted via phone (618) 233-3066.Contact Information
Primary practice address
4500 Memorial Dr Ste 400
Belleville IL 62226-5360
Phone: (618) 233-3066
Fax: (314) 996-7658
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 47916 | Wisconsin |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | C171642 | California |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 036151944 | Illinois |
Profile Details
| NPI number | 1083647408 |
|---|---|
| LBN Legal business name | Santillan, Concepcion Esteban |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2006 |
| Last updated | Apr 12th, 2024 - about 7 months 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 | 1083647408 | NPPES |
| Wisconsin | MEDICAID | 34626300 | |
| Wisconsin | MEDICAID | 32837700 |
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