Suwan, Nesreen

Suwan, Nesreen is an individual health care provider with primary practice located at 2867 Ogden Ave , Lisle IL 60532-1634. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Suwan, Nesreen can be contacted via phone (630) 420-8080.

Contact Information

Primary practice address
2867 Ogden Ave Lisle IL 60532-1634
Phone: (630) 420-8080
Fax: (630) 778-9090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036.099630 Illinois
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036-099630 Illinois

Profile Details

NPI number 1821095936
LBN Legal business name Suwan, Nesreen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Dec 22nd, 2022 - about 2 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 1821095936 NPPES
Illinois Other 1635238 BCBS
Illinois MEDICAID 036099630 BCBS

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