SearchIllinoisNeurological Surgery Physician

Kavantissa Keppetipola, MD

NPI 1013475201 · on the registry since 2019

Practice

Address
600 S Paulina St
Chicago, IL 60612
Phone
(312) 942-7100
Organisation at this address
Rush University Medical Center
Rush University Medical Center
Rush University Medical Center
College Of Nursing Faculty Practice
Infectious Disease Specialists Of Chicago
Inferred from a shared address, not stated in the registry.
Clinicians at this address
721

Additional practice sites

  • 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA

Registry record

Primary taxonomy
Neurological Surgery Physician
207T00000X
Also registered as
Student in an Organized Health Care Education/Training Program
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-06-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois