Provider Demographics
NPI:1386905669
Name:EAPPEN, SETH ASHOK (MD)
Entity type:Individual
Prefix:DR
First Name:SETH
Middle Name:ASHOK
Last Name:EAPPEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:600 ENTERPRISE DR STE 220
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-4202
Mailing Address - Country:US
Mailing Address - Phone:844-632-7736
Mailing Address - Fax:888-972-3621
Practice Address - Street 1:600 ENTERPRISE DR STE 220
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523
Practice Address - Country:US
Practice Address - Phone:844-632-7736
Practice Address - Fax:888-972-3621
Is Sole Proprietor?:No
Enumeration Date:2012-06-04
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43011005962084P0800X
IN01078068A2084P0804X
IL0361376352084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry