Individual
ABHIGNA KODALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.139592
IL
207R00000X
Internal Medicine Physician
266915
MA
208M00000X
Hospitalist Physician
036149592
IL
Other
Enumeration date
06/05/2016
Last updated
10/28/2021
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