Individual
KEERTHI PRASANNA CHENNURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
135 RADIO CITY DR STE A, PEKIN, IL 61554-1568
(954) 870-9991
Mailing address
2400 MELLWOOD AVE APT 401, LOUISVILLE, KY 40206-1063
(954) 870-9991
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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