Individual
ANIL KUMAR KRISHNA PATTISAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4309 W MEDICAL CENTER DR STE B305, MCHENRY, IL 60050-8418
(847) 802-7280
(847) 802-7399
Mailing address
4309 W MEDICAL CENTER DR STE B305, MCHENRY, IL 60050-8418
(847) 802-7280
(847) 802-7399
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
266604
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036155973
IL
207RP1001X
Pulmonary Disease Physician
Primary
036155973
IL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
036155973
IL
Other
Enumeration date
06/19/2012
Last updated
09/25/2024
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