MEDICARE: B N L 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	174400000X	Specialist	036-048413	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

General Provider Information

NPI Number	:	1902183593
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B N L 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	:	PRESIDENT
Name	:	L SETTY N B
Credential	:
Telephone Number	:	773-725-5044

Provider Enumeration Date	:	11/09/2011
Last Update Date	:	11/09/2011

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Directions to “B N L SETTY MD SC ” Practice Location

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