# KESHAVA MEDICAL CENTER LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124228424
- **Authorized official:** MR. PRAMODE K KESHAVA M.D. (DIRECTOR)
- **Authorized official phone:** (773) 783-8793

## Contact information

- **Practice address:** 7845 S COTTAGE GROVE AVE, SUITE \# 109, CHICAGO, IL 60619-3100
- **Practice address phone:** (773) 783-8793
- **Practice address fax:** (773) 783-8794
- **Mailing address:** 9000 KILKENNY DR, DARIEN, IL 60561-8451
- **Mailing address phone:** (630) 910-8157

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036094000 | IL | Yes |

## Other

- **Enumeration date:** 07/24/2007
- **Last updated:** 06/29/2010