Individual
WINSTON SEQUEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7 BLANCHARD CIR, SUITE 202, WHEATON, IL 60189-2037
(630) 653-4526
Mailing address
7 BLANCHARD CIR, SUITE 202, WHEATON, IL 60189-2037
(630) 653-4526
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
036-049100
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0222075
BLUE CROSS GROUP NUMBER
IL
05
—
036049100
—
IL
01
—
1033149844
GROUP NPI
IL
01
—
363149833
TAX IDENTIFICATION NUMBER
IL
01
—
3631498336019001
CDPG HFS PAYEE ID
IL
Enumeration date
07/08/2006
Last updated
05/25/2009
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