Chunduri, Krishna C

Chunduri, Krishna C is an individual health care provider with primary practice located at 6524 W Archer Ave , Chicago IL 60638-2400. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Chunduri, Krishna C can be contacted via phone (773) 717-0890.

Contact Information

Primary practice address
6524 W Archer Ave Chicago IL 60638-2400
Phone: (773) 717-0890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036118198 Illinois
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 036118798 Illinois

Profile Details

NPI number 1760684377
LBN Legal business name Chunduri, Krishna C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2007
Last updated Jun 17th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760684377 NPPES
Illinois Other 01638884 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 036118798 BLUE CROSS BLUE SHIELD

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