Individual
SANJAY SUTARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 RANDALL RD, GENEVA, IL 60134-4200
(630) 208-4060
(630) 208-4401
Mailing address
5452 RELIABLE PARKWAY, CHICAGO, IL 60686-0001
(847) 615-2200
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036112659
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036112659
—
IL
Enumeration date
01/03/2007
Last updated
01/12/2022
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