Individual
SUNITHA NAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 MAIN ST STE 210, PEORIA, IL 61602-5005
(224) 522-9945
(309) 672-4552
Mailing address
900 MAIN ST STE 210, PEORIA, IL 61602-5005
(224) 522-9945
(309) 672-4552
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
69845-20
WI
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
036108897
IL
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
69845
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036108897
—
IL
Enumeration date
07/11/2005
Last updated
10/04/2022
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