Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 036125720 | IL |
Y | 207RI0011X | Interventional Cardiology | 036125720 | IL |
NPI | 1013172329 |
---|---|
Provider Name | Dr. Ankur Sethi |
First Address | Schaumburg, IL 60173-4836 |
Second Address | Oak Park, IL 60302-1015 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2008 |
Last Update Date | 20/02/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036125720 | (05) | IL |