Individual provider Active NPI

Smrithi-Ann Franco Chakkalakal, M.D.

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1013379155
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036152913 Issued in IL
Practice address
2500 W Bradley PL Ste 100
Chicago, IL 60618-4716
Phone
(773) 649-0759
NPI assigned
Mar 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036152913 IL Primary

Addresses

Primary practice location

2500 W Bradley PL Ste 100
Chicago, IL 60618-4716

Mailing address

1440 S Wabash Ave Apt 304
Chicago, IL 60605-2898
Phone (469) 878-8274

Other names 1

  • Ann Franco Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 20, 2020 through Oct 20, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036152913ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Smrithi-Ann Franco Chakkalakal Psychiatry Current Accepting new patients
Dr Ann Chakkalakal MD Psychiatry Current Accepting new patients

Locations

2500 W Bradley Pl
Ste 100
Chicago, IL 60618
Phone (224) 306-1879

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1013379155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 S WABASH AVE APT 304",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052898",
            "telephone_number": "469-878-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W BRADLEY PL STE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606184716",
            "telephone_number": "773-649-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAKKALAKAL",
        "first_name": "SMRITHI-ANN",
        "middle_name": "FRANCO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036152913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "FRANCO",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.