Organization Active NPI

Krishna V Nadhan M.D. S.C.

  • Family Medicine Physician
  • Mount Prospect, IL
National Provider Identifier
1225183262
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036084273 Issued in IL
Legal business name
KRISHNA V NADHAN M.D. S.C.
Practice address
1720 W Algonquin Rd
104
Mount Prospect, IL 60056-5400
Phone
(847) 437-7575
Fax
(847) 437-7589
NPI assigned
Jan 23, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Krishna V Nadhan, M.D.NPI 1013062058
Title
Physician
Phone
(847) 437-7575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 036084273 IL Primary

Addresses

Primary practice location

1720 W Algonquin Rd
104
Mount Prospect, IL 60056-5400

Mailing address

1720 W Algonquin Rd
104
Mount Prospect, IL 60056-5400
Phone (847) 437-7575

National Provider Directory

National Provider Directory

Locations

1720 W Algonquin Rd
Ste 104
Mount Prospect, IL 60056
Phone (847) 437-7575

1720 W Algonquin Rd
Mt Prospect, IL 60056
Phone (847) 437-7575

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1225183262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 W ALGONQUIN RD",
            "address_2": "104",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600565400",
            "telephone_number": "847-437-7575",
            "fax_number": "847-437-7589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 W ALGONQUIN RD",
            "address_2": "104",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600565400",
            "telephone_number": "847-437-7575",
            "fax_number": "847-437-7589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISHNA V NADHAN M.D. S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "NADHAN",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "847-437-7575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036084273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.