Premsai Chilakuluri
Internal Medicine in Riverside, IL. Individual provider (NPI-1).
NPI number1255252011
StatusActive
Last updated in NPPESJul 24, 2026
Details
- NPI
- 1255252011
- Entity type
- Individual (NPI-1)
- Name
- Premsai Chilakuluri
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 24, 2026
- Certification date
- Jul 24, 2026
- Last updated
- Jul 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 125.088495 | IL | Yes |
Practice location
3722 Harlem AveRiverside, IL 60546-2312
Phone 708-783-6566 · Fax 708-783-6566
Mailing address
3722 Harlem AveRiverside, IL 60546-2312
Phone 708-783-6566 · Fax 708-783-6566
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