Individual provider · Type 1 NPI

Seth M. Illu, MD

Emergency Medical Services (Emergency Medicine) Physician · Salt Lake City, UT

NPI number 1043960396 Active

Practice location

30 N Mario Capecdai Dr Rm 2S200
Salt Lake City, UT 84112

Call (801) 581-2121 Map

Other practice locations

  • 743 Spring St NE Ste 710, Gainesville, GA 30501-3715 · (770) 219-8730

Specialties and licenses

TaxonomyCodeLicense
Emergency Medical Services (Emergency Medicine) Physician Primary 207PE0004X14206975-1205 (UT)

Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

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About NPI 1043960396

Seth M. Illu, MD's National Provider Identifier is 1043960396, issued on Mar 28, 2022. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Salt Lake City, UT. The record was last updated on Dec 29, 2025.