Individual
DR. KRISHNA CHAITANYA KOTTAPALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1225 W LAKE ST, MELROSE PARK, IL 60160-4039
(708) 344-2161
Mailing address
260 E BUTTERFIELD RD, APT 406, ELMHURST, IL 60126-4581
(405) 334-3979
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125057310
IL
207R00000X
Internal Medicine Physician
60973
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100031574
—
WI
Enumeration date
12/01/2011
Last updated
01/31/2023
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