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VIJAYALAKSHMI THOTA DO SC NPI 1801081112


NPI Information

NPI: 1801081112
Provider Name: VIJAYALAKSHMI THOTA DO SC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
15300 WEST AVE
SUITE 303
ORLAND PARK, IL
ZIP 60462
Phone: (708) 349-6713
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VIJAYALAKSHMI THOTA DO SC is an internal medicine in Orland Park, IL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. VIJAYALAKSHMI THOTA DO SC NPI is 1801081112. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15300 WEST AVE
SUITE 303
ORLAND PARK, IL
ZIP 60462-600
Phone: (708) 349-6713

The provider's authorized official is Vijayalakshmi Thota .
The authorized official title is Owner/physician and has the following contact phone number (708) 349-6713.

The enumeration date for this NPI number is 9/10/2007 and was last updated on 7/16/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine036088719ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F96027MEDICARE UPINILLINOIS
2DG6450MEDICARE PINILLINOIS
30001627062OTHERILLINOISBC/BS
4036088719MEDICAIDILLINOIS
5215549MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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