Sunbulli, Talal

Sunbulli, Talal is an individual health care provider with primary practice located at 10500 S Cicero , Oak Lawn IL 60453-5205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Sunbulli, Talal can be contacted via phone (708) 424-1202.

Contact Information

Primary practice address
10500 S Cicero Oak Lawn IL 60453-5205
Fax: (708) 424-1395
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036048865 Illinois

Profile Details

NPI number 1538115175
LBN Legal business name Sunbulli, Talal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Sep 25th, 2007 - about 17 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 1538115175 NPPES
Illinois MEDICAID 036078865

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