# SATYENDRA KUMAR HUMAD MD SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902167398
- **Authorized official:** DR. SATYENDRA KUMAR HUMAD MD (OWNER)
- **Authorized official phone:** (847) 866-8988

## Contact information

- **Practice address:** 800 AUSTIN ST, SUITE 208, EVANSTON, IL 60202-3439
- **Practice address phone:** (847) 866-8988
- **Practice address fax:** (847) 866-8990
- **Mailing address:** 800 AUSTIN ST, SUITE 208, EVANSTON, IL 60202-3439
- **Mailing address phone:** (847) 866-8988
- **Mailing address fax:** (847) 866-8990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RR0500X | Rheumatology Physician | 036064710 | IL | Yes |

## Other

- **Enumeration date:** 06/02/2012
- **Last updated:** 09/27/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036064710 | — | IL |