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
Phone: (847) 438-2144
Fax: (847) 438-4654
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831185701 | NPPES |
| Illinois | MEDICAID | 036107839 |
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