Subramanian, Susila
Subramanian, Susila is an individual health care provider with primary practice located at 150 N River Rd Suite 240, Des Plaines IL 60016-1272. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Subramanian, Susila can be contacted via phone (847) 391-9033.Contact Information
Primary practice address
150 N River Rd Suite 240
Des Plaines IL 60016-1272
Phone: (847) 391-9033
Fax: (847) 391-9177
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036-062896 | Illinois |
Profile Details
| NPI number | 1689785040 |
|---|---|
| LBN Legal business name | Subramanian, Susila |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Feb 3rd, 2012 - about 13 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 | 1689785040 | NPPES |
| Illinois | MEDICAID | 036062896 |
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