Harini Kolluri
Pediatrician Pediatric Endocrinologist
5841 S Maryland Ave
Chicago
, Illinois 60637-1447
Harini Kolluri
Pediatrician Pediatric Endocrinologist
5841 S Maryland Ave
Chicago
, Illinois 60637-1447
(773) 702-0443
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About
Features
Specialties
- Pediatrician
- Pediatric Endocrinologist
Languages spoken
- English
Location
First Address
- Harini Kolluri
- 180 Harvester Dr Ste 110
- Burr Ridge, IL
- Zip : 60527-6686
- Fax : (773) 702-0443
- Phone : (773) 795-0168
Second Address
- Harini Kolluri
- 5841 S Maryland Ave
- Chicago, IL
- Zip : 60637-1447
- Phone : (773) 795-0168
Reviews
FAQs
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Is Harini Kolluri accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 01067265A | IN |
| N | 2080P0205X | Pediatric Endocrinologist | 036.122918 | IL |
National Provider Identifier
| NPI | 1407019060 |
|---|---|
| Provider Name | Harini Kolluri |
| First Address | Burr Ridge, IL 60527-6686 |
| Second Address | Chicago, IL 60637-1447 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/07/2008 |
| Last Update Date | 26/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000646342 | ANTHEM PIN (01) | IN |
| 151020NNNN | MEDICARE PTAN (01) | IN |
| 200965410 | (05) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.