B N L Setty MD SC

Primary specialty

SpecialistTaxonomy code 174400000X

License

036-048413 Issued in IL

Legal business name

B N L SETTY MD SC

Practice address

4955 N Milwaukee Ave
Suite 7
Chicago, IL 60630-2286

Phone

(773) 725-5044

Fax

(773) 725-4881

NPI assigned

Nov 9, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

L Setty N B

Title

President

Phone

(773) 725-5044

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1902183593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 N MILWAUKEE AVE",
            "address_2": "SUITE 7",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302286",
            "telephone_number": "773-725-5044",
            "fax_number": "773-725-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 N MILWAUKEE AVE",
            "address_2": "SUITE 7",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302286",
            "telephone_number": "773-725-5044",
            "fax_number": "773-725-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B N L SETTY MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-09",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "B",
        "authorized_official_first_name": "L SETTY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-725-5044"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036-048413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036048413",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Chicago, IL
• Providers in Chicago, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.