Thayu, Sivakami

Thayu, Sivakami is an individual health care provider with primary practice located at 350 Surryse Rd Ste 100 , Lake Zurich IL 60047-3217. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Thayu, Sivakami can be contacted via phone (847) 438-2144.

Contact Information

Primary practice address
350 Surryse Rd Ste 100 Lake Zurich IL 60047-3217
Fax: (847) 438-4654
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036107839 Illinois

Profile Details

NPI number 1831185701
LBN Legal business name Thayu, Sivakami
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated May 12th, 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 1831185701 NPPES
Illinois MEDICAID 036107839

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