Search › Illinois › 207R00000X
Praveen Parvathala, M.D
NPI 1861409971 · on the registry since 2006
Practice
- Address
- 100 W 162nd St
South Holland, IL 60473 - Phone
- (708) 730-2200
- Fax
- (708) 210-0625
- Organisation at this address
- Advocate Health And Hospitals Corporation
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 38
Additional practice sites
- 2545 S King Dr, Chicago, IL
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-21
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