Sivarajan, Bhavani
Sivarajan, Bhavani is an sole proprietor health care provider with primary practice located at 1715 Glenwood Ave , Joliet IL 60435-5835. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Sivarajan, Bhavani can be contacted via phone (815) 744-1089.Contact Information
Primary practice address
1715 Glenwood Ave
Joliet IL 60435-5835
Phone: (815) 744-1089
Fax: (815) 744-0460
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 036072478 | Illinois |
Profile Details
| NPI number | 1396711701 |
|---|---|
| LBN Legal business name | Sivarajan, Bhavani |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 24th, 2006 |
| Last updated | May 19th, 2010 - about 14 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 | 1396711701 | NPPES |
| Illinois | Other | 036072478 | LICENCE NUMBER |
| Illinois | MEDICAID | 036072478 | LICENCE NUMBER |
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