Thothathri, Vijaya
Thothathri, Vijaya is an individual health care provider with primary practice located at 934 Center St , Elgin IL 60120-2125. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Thothathri, Vijaya can be contacted via phone (847) 429-8750.Contact Information
Primary practice address
934 Center St
Elgin IL 60120-2125
Phone: (847) 429-8750
Fax: (847) 429-8978
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036092090 | Illinois |
Profile Details
| NPI number | 1659370393 |
|---|---|
| LBN Legal business name | Thothathri, Vijaya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2005 |
| Last updated | Feb 7th, 2008 - about 16 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 | 1659370393 | NPPES |
| Illinois | Other | 04532206 | BLUE CROSS BLUE SHIELD |
| Illinois | MEDICAID | 036092090 | BLUE CROSS BLUE SHIELD |
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