Provider Demographics
NPI:1760753271
Name:SETHI, PUJA (MD)
Entity Type:Individual
Prefix:DR
First Name:PUJA
Middle Name:
Last Name:SETHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1314 KENSINGTON RD.
Mailing Address - Street 2:UNIT 3161
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60522-3161
Mailing Address - Country:US
Mailing Address - Phone:630-297-8282
Mailing Address - Fax:630-278-6118
Practice Address - Street 1:7530 WOODWARD AVE STE A
Practice Address - Street 2:
Practice Address - City:WOODRIDGE
Practice Address - State:IL
Practice Address - Zip Code:60517-3100
Practice Address - Country:US
Practice Address - Phone:630-297-8282
Practice Address - Fax:630-278-6118
Is Sole Proprietor?:No
Enumeration Date:2012-01-16
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-129334207Q00000X
IL36129334207QS1201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS1201XAllopathic & Osteopathic PhysiciansFamily MedicineSleep Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine