Individual
ANAND KOMARETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 BIESTERFIELD RD, ELK GROVE VILLAGE, IL 60007-3361
(847) 437-5500
Mailing address
800 BIESTERFIELD RD, ELK GROVE VILLAGE, IL 60007-3361
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
036.149325
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036149325
—
IL
Enumeration date
05/28/2016
Last updated
01/30/2021
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