DR. KRISHNA C CHUNDURI (NPI# 1760684377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760684377 |
| Entity Type | Individual |
| Full Name | DR. KRISHNA C CHUNDURI |
| Credential | M.D. |
| Practice Address |
6524 W Archer Ave Chicago IL 60638-2400 |
| Mailing Address |
15w302 60th St Burr Ridge IL 60527-5201 |
| Practice Telephone | 7737170890 |
| Mailing Telephone | 3129522226 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 036118198 | IL | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
036118798 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036118798 | 05 | |
| IL | BLUE CROSS BLUE SHIELD | 01638884 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2875 W 19th St, Chicago, IL 606233501 | 7734841000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144209719 | Krishna Chunduri | Anesthesiology | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2006-01-12 |
| Street Address |
6524 W ARCHER AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60638-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922067412 | Ali Rafie-safaie | Chiropractor | 6524 W Archer Ave, Chicago, IL 60638-2400 | 2006-03-22 |
| 1215545249 | Lauren Wiske | Physical Therapist | 6524 W Archer Ave, Chicago, IL 60638-2400 | 2020-07-15 |
| 1306383203 | Core Rehab, LLC | Chiropractor | 6524 W Archer Ave, Chicago, IL 60638-2400 | 2017-01-30 |
| 1417208331 | Advanced Spine and Pain Specialists, S.c. | Chiropractor | 6524 W Archer Ave, Chicago, IL 60638-2400 | 2012-10-02 |
| 1679713010 | Christopher A Fortier | Physical Therapist | 6524 W Archer Ave, Chicago, IL 60638-2400 | 2009-02-25 |
| 1487892790 | Krzysztof Kluzowski | Physical Therapy Assistant | 6524 W Archer Ave, Chicago, IL 60638-2400 | 2009-01-23 |
| 1962696427 | Melissa L Eckroat | Physical Therapist | 6524 W Archer Ave, Chicago, IL 60638-2400 | 2007-08-28 |
| 1841416880 | Phillip A. Gattas | Chiropractor | 6524 W Archer Ave, Chicago, IL 60638 | 2007-04-18 |
| 1124112461 | Midwest Medicorp, Sc | Chiropractor | 6524 W Archer Ave, Chicago, IL 60638-2400 | 2006-10-03 |
| 1629038864 | Mark Kaczmarski | Chiropractor | 6524 W Archer Ave, Chicago, IL 60638-2400 | 2006-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931952 | Dawid Bula | Pharmacist | 7090 S Cicero Ave, Bedford Park, IL 60638 | 2020-10-30 |
| 1386278430 | Adara Simonelli | Physician Assistant | 6317 S Lorel Avenue, Chicago, IL 60638 | 2020-02-27 |
| 1891343711 | Marie Dipasquale | Technician | 5837 So. Natoma Ave, Chgo, IL 60638 | 2019-09-04 |
| 1316434400 | Ab Dental Professionals LLC | Dentist | 5672 South Archer Avenue, Chicago, IL 60638 | 2018-04-16 |
| 1427563204 | Bethany Elkington | Occupational Therapist | 5764 South Archer Ave, Chicago, IL 60638 | 2017-12-03 |
| 1952759854 | Ismael Gutierrez | Family Medicine | 6084 W Archer Ave, Chicago, IL 60638 | 2016-06-01 |
| 1336533314 | Claude Lucas King | Counselor | 6235 S Major Ave Apt 1, Chicago, IL 60638 | 2015-03-27 |
| 1538594395 | Mohammad Joudeh | Chiropractor | 4844 S Cicero Ave, Chicago, IL 60638 | 2013-09-11 |
| 1548602428 | Clearing Vision Professional Corporation | Optometrist | 5718 W. 63rd St., Chicago, IL 60638 | 2013-07-22 |
| 1184963134 | Raquel Ana Eguia | Physical Therapist | 5658 S. Parkside Ave, Chicago, IL 60638 | 2013-02-12 |
| Find all providers in zip 60638 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538775770 | Regenerative Pain & Spine LLC | Anesthesiology | 2122 W Devon Ave, Chicago, IL 60659-3581 | 2020-09-22 |
| 1720627862 | Mm Infusions LLC | Anesthesiology | 1605 S Michigan Ave Unit 1, Chicago, IL 60616-1209 | 2020-01-06 |
| 1306386644 | Advanced Pain and Anesthesia Consultants,pc | Anesthesiology | 5215 N California Ave Ste F715, Chicago, IL 60625-7014 | 2017-03-06 |
| 1487035408 | Emilio A. Valdes | Anesthesiology | 1969 W. Ogden Ave., John H. Stroger, Jr. Hospital of Cook County, Chicago, IL 60612 | 2015-06-16 |
| 1144609181 | Ebm Consulting LLC | Anesthesiology | 5600 N Sheridan Road, #115, Chicago, IL 60660 | 2015-05-22 |
| 1407291867 | Andrew Donguk Nam | Anesthesiology | 1969 W Ogden Ave Fl 5, Chicago, IL 60612-3765 | 2013-04-29 |
| 1326380072 | Integrated Pain Management Sc | Anesthesiology | 736 W. 35th St., Chicago, IL 60616-3438 | 2013-03-20 |
| 1467742577 | William Richard Landphair | Anesthesiology | 1725 W Harrison St Ste 550, Chicago, IL 60612-3846 | 2011-04-10 |
| 1851547616 | Dalia H Elmofty | Anesthesiology | 5841 S Maryland Ave Mc 4028, University of Chicago, Department of Anesthesia, Chicago, IL 60637 | 2008-08-13 |
| 1588827646 | Intesar Hussain | Anesthesiology | 830 N. Ashland Avenue, Chicago, IL 60622-5684 | 2008-07-08 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.