Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VASANTH KATTALAI KAILASAM, MD
ActiveVASANTH KATTALAI KAILASAM, MD is a 2084P2900X healthcare provider located in CRYSTAL LAKE, Illinois. NPI 1275882730 is currently active in the NPPES registry. Verify at CMS.
2084P2900X · CRYSTAL LAKE, IL
Registration Details
- NPI Number
- 1275882730
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2012 (13.988103205325 yrs)
- Last Updated
- Oct 2, 2023
- Licenses
-
60723587 (WA)MD21916 (ME)
Practice Information
- Address
-
875 SOUTH ROUTE 31CRYSTAL LAKE, IL, 60014Browse IL providers · Browse ZIP 60014
- Phone
- 7792205500
- Primary Specialty
-
2084P2900X
2084P2900X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- 2084P2900X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.