Individual
DR. MARVIN SINSAKUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1426 W WASHINGTON BLVD, CHICAGO, IL 60607-1821
(312) 829-1424
(312) 850-8431
Mailing address
1426 W WASHINGTON BLVD, CHICAGO, IL 60607-1821
(312) 829-1424
(312) 850-8431
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036099895
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01615381
BC/BS ID NUMBER
IL
05
—
036099895
—
IL
01
—
390008272
RAILROAD MEDICARE
GA
Enumeration date
08/24/2006
Last updated
09/25/2012
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