Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 036127274 | IL |
NPI | 1053519595 |
---|---|
Provider Name | Dr. Seema Sahai Sheth |
First Address | Burr Ridge, IL 60527-7126 |
Second Address | Arlington Hts, IL 60004-1530 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2007 |
Last Update Date | 06/04/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
PO1231093 | MEDICARE RAILROAD (01) | IL |