Kavitha G Krishnan, MD
Family Medicine in Lincolnwood, IL. Individual provider (NPI-1).
NPI number1255836631
StatusActive
Last updated in NPPESJan 31, 2025
Details
- NPI
- 1255836631
- Entity type
- Individual (NPI-1)
- Name
- Kavitha G Krishnan
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 27, 2018
- Certification date
- Jan 31, 2025
- Last updated
- Jan 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036156547 | IL | Yes |
Practice location
6810 N McCormick BlvdLincolnwood, IL 60712-2709
Phone 847-674-6900 · Fax 773-329-4728
Mailing address
4807 Welford DrBellaire, TX 77401-5333
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