Sidhwa, Kamo G

Sidhwa, Kamo G is an individual health care provider with primary practice located at 13755 Cicero Ave , Crestwood IL 60445-1824. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Sidhwa, Kamo G can be contacted via phone (888) 220-6432.

Contact Information

Primary practice address
13755 Cicero Ave Crestwood IL 60445-1824
Fax: (630) 654-4253
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 036-113403 Illinois

Profile Details

NPI number 1124169685
LBN Legal business name Sidhwa, Kamo G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
Last updated May 12th, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124169685 NPPES
Illinois MEDICAID 036113403

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