Sutyak, John P
Sutyak, John P is an individual health care provider with primary practice located at 747 N Rutledge St Fl 2 , Springfield IL 62702-6700. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Sutyak, John P can be contacted via phone (217) 545-8000.Contact Information
Primary practice address
747 N Rutledge St Fl 2
Springfield IL 62702-6700
Phone: (217) 545-8000
Fax: (217) 545-7795
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036-104455 | Illinois |
Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 036-104455 | Illinois |
Profile Details
NPI number | 1679569172 |
---|---|
LBN Legal business name | Sutyak, John P |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 21st, 2005 |
Last updated | Jan 29th, 2024 - about 10 months 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 | 1679569172 | NPPES |
Illinois | MEDICAID | 036104455 |
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