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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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