Organization
B.S. IYER M.D., S.C.
Active
Parent organization
BS IYER MD SC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BS IYER MD SC
Authorized official
BALASUBRAMANIAM S. IYER M.D. (OWNER)
(773) 878-5225
Entity
Organization
Contact information
Practice address
1945 W WILSON AVE, SUITE #2115, CHICAGO, IL 60640-5255
(773) 878-5225
(773) 878-5661
Mailing address
1945 W WILSON AVE, SUITE #2115, CHICAGO, IL 60640-5255
(773) 878-5225
(773) 878-5661
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036046165
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211814
UPIN
—
05
—
36046165
—
IL
01
—
K18231
MEDICARE
IL
Enumeration date
12/11/2007
Last updated
02/24/2010
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