MEDICARE: DR. LAKSHMAIAH B N SETTY MD SC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	036048413	IL
2	207RG0100X	Gastroenterology Physician	036048413	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	3631170950001	OTHER	IL	CIGNA
3	216202033	OTHER	IL	BCBS

General Provider Information

NPI Number	:	1134203938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAKSHMAIAH B N SETTY MD SC

Provider Business Mailing Address
First Line	:	4955 N MILWAUKEE AVE
Second Line	:	SUITE #7
City	:	CHICAGO
State	:	IL
Zip	:	60630-2286
Country	:	US
Telephone Number	:	773-725-5044
Fax Number	:	773-725-4881

Provider Business Practice Location Address
First Line	:	4955 N MILWAUKEE AVE
Second Line	:	SUITE #7
City	:	CHICAGO
State	:	IL
Zip	:	60630-2286
Country	:	US
Telephone Number	:	773-725-5044
Fax Number	:	773-725-4881

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	12/03/2007

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