Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALLIKARJUNA R KANNEGANTI, M.D.
Active Sole ProprietorPsychiatric Hospital · NORTH CHICAGO, IL
Registration Details
- NPI Number
- 1760642482
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2008 (17.875179184601 yrs)
- Last Updated
- Jun 18, 2008
- License
-
036078018 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3001 GREEN BAY RDNORTH CHICAGO, IL, 600643048Browse IL providers · Browse ZIP 60064
- Phone
- 2246103719
- Fax
- 2246103824
- Primary Specialty
-
Psychiatric Hospital
283Q00000X
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.