Individual
LATHA MARIYAPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4646 N MARINE DR, CHICAGO, IL 60640-5759
(773) 564-5216
(773) 564-5215
Mailing address
1535 S MONTEREY AVE, VILLA PARK, IL 60181-3434
(847) 902-9125
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036108285
IL
208M00000X
Hospitalist Physician
Primary
036108285
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-108285
IDFPR (ILLINOIS STATE MEDICAL LICENSE)
IL
Enumeration date
08/10/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us