Individual
ALEKYA KOTHAMASU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4220 W 95TH ST, OAK LAWN, IL 60453-2793
(708) 684-5341
(708) 423-1899
Mailing address
1200 S YORK ST STE 2000, ELMHURST, IL 60126-5634
(331) 221-9004
(331) 221-2747
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036167072
IL
208000000X
Pediatrics Physician
125078857
IL
Other
Enumeration date
04/01/2021
Last updated
04/10/2024
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