Sengupta, Elizabeth Ellen
Sengupta, Elizabeth Ellen is an individual health care provider with primary practice located at 2900 N Lake Shore Dr , Chicago IL 60657-5640. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Sengupta, Elizabeth Ellen can be contacted via phone (773) 665-3679.Contact Information
Primary practice address
2900 N Lake Shore Dr
Chicago IL 60657-5640
Phone: (773) 665-3679
Fax: (773) 665-3612
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 036072945 | Illinois |
Profile Details
| NPI number | 1467422568 |
|---|---|
| LBN Legal business name | Sengupta, Elizabeth Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Feb 8th, 2016 - about 8 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 | 1467422568 | NPPES |
| Indiana | Other | 000000383415 | ANTHEM BCBS |
| Indiana | MEDICAID | 100378240 | ANTHEM BCBS |
| Indiana | MEDICAID | 036072945 | ANTHEM BCBS |
| Indiana | Other | P00296508 | ANTHEM BCBS |
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