Individual
DR. KAMALA S CHITTIVELU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2501 ALLENTOWN RD, PEKIN, IL 61554-9401
(309) 347-3121
Mailing address
21333 HAGGERTY RD, SUITE 150, NOVI, MI 48375-5510
(248) 662-0250
(248) 662-9844
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036108302
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036108302
—
IL
01
—
P00325405
METRAHEALTH RR - N. IL
IL
Enumeration date
07/05/2006
Last updated
11/27/2018
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