Healthcare Provider Details

I. General information

NPI: 1497878128
Provider Name (Legal Business Name): SUNITA REMBARSU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1431 N WESTERN AVE
CHICAGO IL
60622-1797
US

IV. Provider business mailing address

4767 CLEARWATER LN
NAPERVILLE IL
60564-5389
US

V. Phone/Fax

Practice location:
  • Phone: 312-633-5841
  • Fax: 312-633-5936
Mailing address:
  • Phone: 630-379-1534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number036117786
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number125-048737
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: