Harini Kolluri
MD | Pediatrics | Female
Harini Kolluri, MD is a Chicago, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Harini Kolluri is
5841 S Maryland Ave, Chicago, Illinois - 60637-1447. She can be contacted on phone at
773-795-0168.
Harini Kolluri is a sole proprietor of her business.
NPI number (Unique professional ID) for Harini Kolluri is
1407019060 which was assigned by NPPES on 03 Jul, 2008 and it was last updated on 26 Apr, 2021.
Harini Kolluri license number is
01067265A for Pediatrics (208000000X) in Indiana.
Harini Kolluri is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Harini Kolluri basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Harini Kolluri |
|---|
| Credential : | MD |
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| Gender : | Female |
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Business Address:
Harini Kolluri address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5841 S Maryland Ave
Chicago, IL, 60637-1447
United States |
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| Phone Number : | 773-795-0168 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1407019060 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 03 Jul, 2008 |
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| Last Updated On : | 26 Apr, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Harini Kolluri are as mentioned. Primary taxonomy code for Harini Kolluri, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0205X | Pediatrics Pediatric Endocrinology | No | 036.122918 | IL |
| 390200000X | Student in an Organized Health Care Education/Training Program | No | 125051149 | IL |
| 208000000X | Pediatrics | Yes | 01067265A | IN |
Legacy Identifiers:
Other legacy medical identifiers of Harini Kolluri such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 151020NNNN | Other | IN | MEDICARE PTAN |
| 000000646342 | Other | IN | ANTHEM PIN |
| 200965410 | MEDICAID | IN | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | harini.kolluri@direct.ccprovider.org
| | DIRECT
Direct
|
| 1969 W. OGDEN AVE.,
CHICAGO, IL, 60612-3723
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 180 Harvester Dr Ste 110
Burr Ridge, IL, 60527-6686
United States |
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| Phone Number : | 773-795-0168 |
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| Fax Number : | 773-702-0443 |
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Business Location:
Patients can refer following map for directions to
Harini Kolluri practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.