# KPR ENDOCRINOLOGY LLC

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

## Provider details

- **NPI number:** 1740642628
- **Authorized official:** SUDHA K YALAMANCHI M.D. (SOLE MEMBER)
- **Authorized official phone:** (630) 487-3736

## Contact information

- **Practice address:** 621 PLAINFIELD RD, ST 107, WILLOWBROOK, IL 60527-5343
- **Practice address phone:** (708) 446-7527
- **Mailing address:** 20 GLENDALE AVE, HINSDALE, IL 60521-2829
- **Mailing address phone:** (630) 487-3736
- **Mailing address fax:** (630) 487-3738

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 036121291 | IL | Yes |

## Other

- **Enumeration date:** 03/22/2016
- **Last updated:** 03/22/2016
