Provider Demographics
NPI:1437237476
Name:SEKER, SHANTI J (MD)
Entity Type:Individual
Prefix:DR
First Name:SHANTI
Middle Name:J
Last Name:SEKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6320 159TH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:OAK FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60452-2776
Mailing Address - Country:US
Mailing Address - Phone:708-687-3855
Mailing Address - Fax:708-444-2324
Practice Address - Street 1:6320 159TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:OAK FOREST
Practice Address - State:IL
Practice Address - Zip Code:60452-2776
Practice Address - Country:US
Practice Address - Phone:708-687-3855
Practice Address - Fax:708-444-2324
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036-045260207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILIL6426002Medicare PIN
ILD13010Medicare UPIN