Individual
DHARANI GUTTIKONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1725 W HARRISON ST STE 158, CHICAGO, IL 60612-3841
(312) 942-8910
Mailing address
1725 W HARRISON ST STE 158, CHICAGO, IL 60612-3841
(312) 942-8910
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.146432
IL
207RG0100X
Gastroenterology Physician
036.146432
IL
207RG0100X
Gastroenterology Physician
Primary
036146432
IL
207RT0003X
Transplant Hepatology Physician
Primary
036.146432
IL
207RT0003X
Transplant Hepatology Physician
75705
WI
Other
Enumeration date
04/10/2015
Last updated
06/09/2026
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