Venkatesan, T K

Venkatesan, T K is an individual health care provider with primary practice located at 30 N Michigan Ave #1107, Chicago IL 60602-3402. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Venkatesan, T K can be contacted via phone (312) 236-3642.

Contact Information

Primary practice address
30 N Michigan Ave #1107 Chicago IL 60602-3402
Fax: (312) 236-5162
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 036088143 Illinois

Profile Details

NPI number 1295797470
LBN Legal business name Venkatesan, T K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Sep 9th, 2015 - about 9 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 1295797470 NPPES
Illinois MEDICAID 036088143

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