Healthcare Provider Details

I. General information

NPI: 1013009653
Provider Name (Legal Business Name): PRADIP SETHI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 12/21/2021
Certification Date: 12/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 NORTH AIRLITE ST SUITE 2
ELGIN IL
60123-4965
US

IV. Provider business mailing address

40 NORTH AIRLITE ST SUITE 2
ELGIN IL
60123-4965
US

V. Phone/Fax

Practice location:
  • Phone: 847-695-0985
  • Fax: 847-695-4373
Mailing address:
  • Phone: 847-695-0985
  • Fax: 847-695-4373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number036055338
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: