Premsai Chilakuluri
Individual provider Active NPI Internal Medicine Physician · Riverside, IL
NPI 1255252011 · NPPES record last updated Jul 24, 2026
Key facts
- NPI
- 1255252011
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 125.088495 (IL)
- Practice address
- 3722 Harlem Ave
Riverside, IL 60546-2312 - Phone
- (708) 783-6566
- Fax
- (708) 783-6566
- NPI assigned
- Jul 24, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125.088495 | IL | Yes |
Addresses
Primary practice location
3722 Harlem Ave
Riverside, IL 60546-2312
Mailing address
3722 Harlem Ave
Riverside, IL 60546-2312
Phone (708) 783-6566
Other providers in Riverside, IL
- Yulissa Vanessa Cardenas
- Lauren Caruso
- Centre Physical Therapy Riverside LLC
- Viraj Dharmraj Chauhan
- Catherine Cheng
- Gerald Joseph Ciebien
- Jean R Clark
- Jeri Jannine Coffey
- Congruency Integrated Counseling, PLLC
- Cook County
All providers in Riverside, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.