V Susarla Mdsc
LBN: V Susarla Mdsc
V Susarla Mdsc is an health care organization with primary practice located at 860 Summit St Suite 123, Elgin IL 60120-5145. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
V Susarla Mdsc can be contacted via phone (847) 741-0026, or through Susarla, Viswanatham via phone (847) 741-0026.
Contact Information
Primary practice address
860 Summit St Suite 123
Elgin IL 60120-5145
Phone: (847) 741-0026
Fax:
Website:
Authorized official contact:
Name: Susarla, Viswanatham Doctor of Medicine (MD)
Phone: (847) 741-0026
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1952583783 |
|---|---|
| LBN Legal business name | V Susarla Mdsc |
| DBA Doing business as | |
| Authorized official | Susarla, Viswanatham Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 4th, 2007 |
| Last updated | Dec 21st, 2007 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952583783 | NPPES |
| Illinois | Other | DE4313 | RAILROAD MEDICARE |
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