Individual
SUSHANT KAPOOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4440 W 95TH ST STE AIP, OAK LAWN, IL 60453-2600
(800) 655-2656
(412) 822-7411
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1285
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036160015
IL
207R00000X
Internal Medicine Physician
036160015
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036160015
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2015
Last updated
11/04/2024
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