Organization
KRISHNA SUNKARA MD SC
Active
Organization
KRISHNA SUNKARA MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISHNA SUNKARA MD (OWNER / PHYSICIAN)
(708) 799-7990
Entity
Organization
Contact information
Practice address
17680 KEDZIE AVE, SUITE 101, HAZEL CREST, IL 60429-2043
(708) 799-7990
Mailing address
17680 KEDZIE AVE, SUITE 101, HAZEL CREST, IL 60429-2043
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
57322217
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001627870
BCBS
IL
Enumeration date
05/23/2006
Last updated
06/29/2015
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