Provider Demographics
NPI:1013009653
Name:SETHI, PRADIP (MD)
Entity Type:Individual
Prefix:MR
First Name:PRADIP
Middle Name:
Last Name:SETHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 NORTH AIRLITE ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-4965
Mailing Address - Country:US
Mailing Address - Phone:847-695-0985
Mailing Address - Fax:847-695-4373
Practice Address - Street 1:40 NORTH AIRLITE ST
Practice Address - Street 2:SUITE 2
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-4965
Practice Address - Country:US
Practice Address - Phone:847-695-0985
Practice Address - Fax:847-695-4373
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0360553382084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL4901097OtherBLUE CROSS BLUE SHIELD
ILP00319590OtherMEDICARE RAILROAD CARRIER
IL4901097OtherBLUE CROSS BLUE SHIELD
ILK09320Medicare ID - Type Unspecified