CHRISANTHA ANANDAPPA MD NPI 1376058016

NPI Information

NPI: 1376058016
Provider Name: CHRISANTHA ANANDAPPA MD
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
2500 W BRADLEY PL STE 100
CHICAGO, IL
ZIP 60618
Phone: (773) 649-0759
Get Directions

CHRISANTHA ANANDAPPA MD is an adult mental health clinic center in Chicago, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. CHRISANTHA ANANDAPPA MD NPI is 1376058016. The provider is registered as an organization entity type.

The provider's business location address is:

2500 W BRADLEY PL STE 100
CHICAGO, IL
ZIP 60618-716
Phone: (773) 649-0759
Fax: (224) 205-3757

The provider's authorized official is Chrisantha E Anandappa .
The authorized official title is Physician and has the following contact phone number (708) 557-1930.

The enumeration date for this NPI number is 12/4/2017 and was last updated on 3/17/2018.

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
1	261QM0850X	Clinic/Center	Adult Mental Health	036.132734	ILLINOIS	Yes
2	261QM0850X	Clinic/Center	Adult Mental Health	4301092315	MICHIGAN	No

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: 11/14/2023

NPI Synchronization or Removal

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