Individual
DR. VIKRAM KANAKAYYA DEVISETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.B.A., M.P.H.
Contact information
Practice address
660 N WESTMORELAND RD, LAKE FOREST, IL 60045-1659
(847) 234-5600
Mailing address
1195 OAK KNOLL DR, LAKE FOREST, IL 60045-3664
(919) 308-4344
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2007015014
MO
208M00000X
Hospitalist Physician
Primary
036.125779
IL
Other
Enumeration date
08/06/2007
Last updated
07/21/2022
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