Individual
SETH M. ILLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 N MARIO CAPECDAI DR RM 2S200, SALT LAKE CITY, UT 84112
(801) 581-2121
Mailing address
30 N MARIO CAPECDAI DR RM 2S200, SALT LAKE CITY, UT 84112
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
14206975-1205
UT
Other
Enumeration date
03/28/2022
Last updated
12/29/2025
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