Individual
NIKITHA POTTURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
120 SPALDING DR STE 205, NAPERVILLE, IL 60540-6527
(630) 646-6020
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 570-2040
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
036174482
IL
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
036174482
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2019
Last updated
06/04/2025
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