Healthcare Provider Details

I. General information

NPI: 1013172329
Provider Name (Legal Business Name): ANKUR SETHI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2008
Last Update Date: 04/09/2024
Certification Date: 04/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7035 NORTH AVE
OAK PARK IL
60302-1015
US

IV. Provider business mailing address

808 E WOODFIELD RD STE 100
SCHAUMBURG IL
60173-4836
US

V. Phone/Fax

Practice location:
  • Phone: 708-680-3800
  • Fax:
Mailing address:
  • Phone: 847-605-9500
  • Fax: 847-637-0737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number036125720
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number25MA10215700
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number25MA10215700
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number036125720
License Number StateIL
# 5
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number25MA10215700
License Number StateNJ
# 6
Primary TaxonomyN
Taxonomy Code246XS1301X
TaxonomySonography Specialist/Technologist Cardiovascular
License Number25MA10215700
License Number StateNJ
# 7
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number036125720
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: