Individual provider · NPI-1

Chandra Kanth Chaturvedula

Internal Medicine, Nephrology · Mattoon, IL

NPI number1215311683
StatusActive
Last updated in NPPESJun 29, 2026

Details

NPI
1215311683
Entity type
Individual (NPI-1)
Name
Chandra Kanth Chaturvedula
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 16, 2015
Certification date
Jun 29, 2026
Last updated
Jun 29, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RN0300X Internal Medicine, Nephrology036.146437ILYes
207R00000X Internal Medicine036146437IL

Practice location

200 Professional Plz
Mattoon, IL 61938-9280

Phone 309-676-8123 · Fax 309-676-8455

Mailing address

420 Ne Glen Oak Ave Ste 401
Peoria, IL 61603-3112

Phone 309-624-9259 · Fax 309-676-8455

Other practice locations

834 N Seminary St Ste 501
Galesburg, IL 61401

Phone 309-343-4114 · Fax 309-676-8455

1104 W Evergreen Ave
Effingham, IL 62401-1710

Phone 309-676-8123 · Fax 309-676-8455

1000 Health Center Dr
Mattoon, IL 61938-4644

Phone 309-676-8123 · Fax 309-676-8455

1302 Franklin Ave Ste 3000
Normal, IL 61761-6522

Phone 309-676-8123 · Fax 309-676-8455

525 E Grant St 2nd Floor
Macomb, IL 61455

Phone 309-676-8123 · Fax 309-676-8455

1000 W Harlem
Monmouth, IL 61462

Phone 309-676-8123 · Fax 309-676-8455

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