Sachchithanantham Kuhananthan, M.D.
Individual provider Active NPI Internal Medicine Physician · Hoopeston, IL
NPI 1962495499 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962495499
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 036-086736 (IL)
- Practice address
- 701 E Orange St
Hoopeston, IL 60942-1801 - Phone
- (630) 321-8300
- Fax
- (630) 321-8750
- NPI assigned
- Aug 30, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-086736 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inphynet Primary Care Physicians Midwest, S.C. | Past | Accepting new patients | |
| Greater Elgin Emergency Specialists LTD | Past | Accepting new patients | |
| Hoopeston Emergency Medicine Specialists, LTD. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036-086736 | IL | Yes |
Addresses
Primary practice location
701 E Orange St
Hoopeston, IL 60942-1801
Mailing address
150 Quail Ridge Dr
Westmont, IL 60559-6142
Phone (630) 321-8300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-086736 | Medicaid | IL |
Other providers in Hoopeston, IL
- Alexander Kentner
- Ashley Marie Kief
- Terra Marie Kinney
- Jamie Knapp
- Vernon Koto
- Callie Grace Lankford
- Cylie Ann Lappin
- Tsong Chou Lee
- Lincare Inc
- Patricia M Maloney
All providers in Hoopeston, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.