Individual
DR. KALKI BOMMARAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
2154 W DIVISION ST APT 402, CHICAGO, IL 60622-8152
(224) 703-3244
Mailing address
2154 W DIVISION ST APT 402, CHICAGO, IL 60622-8152
(224) 703-3244
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.096303
OH
208M00000X
Hospitalist Physician
Primary
036127317
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036127317
—
IL
Enumeration date
10/23/2008
Last updated
06/29/2023
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