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Contact Information

SEAN SUTPHEN, DO
2101 WAUKEGAN RD STE 110
BANNOCKBURN, IL60015
 Phone: 847-914-9096
 Fax: 847-914-9009
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SEAN SUTPHEN · (Male)

NPI Number 1689948770
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/07/2012
Last updated 10/17/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036146136
Hospital affiliation(s)
  • EVANSTON HOSPITAL - (Acute Care)
    2650 RIDGE AVE
    EVANSTON, IL 60201
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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