Individual
LALITHA YEKKIRALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 W PARK ST, URBANA, IL 61801-2334
(217) 337-2073
(217) 366-6106
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801-2501
(217) 902-6954
(217) 902-7711
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036104792
IL
208M00000X
Hospitalist Physician
036104792
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01032021
BLUE CROSS BLUE SHIELD
IL
01
—
036104792
STATE LICENSE NUMBER
IL
05
—
036104792
—
IL
01
—
110248524
RAILROAD MEDICARE
—
01
—
2159428
UNITED HEALTHCARE
—
01
—
300025539
TRICARE
—
01
—
610234
HEALTHLINK, INC.
—
01
—
7388481
AETNA
—
01
—
8553891001
CIGNA HEALTHCARE
—
Enumeration date
08/31/2006
Last updated
06/09/2025
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