Shoush, Sittanur
Shoush, Sittanur is an sole proprietor health care provider with primary practice located at 25 N. Winfield Rd Ste 401 , Winfield IL 60190. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Shoush, Sittanur can be contacted via phone (630) 933-4200.Contact Information
Primary practice address
25 N. Winfield Rd Ste 401
Winfield IL 60190
Phone: (630) 933-4200
Fax: (630) 933-4210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 036125417 | Illinois |
Profile Details
| NPI number | 1083860613 |
|---|---|
| LBN Legal business name | Shoush, Sittanur |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 14th, 2008 |
| Last updated | Dec 16th, 2014 - about 10 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 | 1083860613 | NPPES |
| Illinois | Other | 206147 | MEDICARE PTAN (GROUP) |
| Illinois | Other | F400172817 | MEDICARE PTAN (GROUP) |
| Illinois | MEDICAID | 036125417 | MEDICARE PTAN (GROUP) |
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