Madana M Chilakuri

Primary specialty

PharmacistTaxonomy code 183500000X

License

051.293017 Issued in IL

Practice address

1155 E Pershing Rd
Decatur, IL 62526-4726

Phone

(217) 877-2374

NPI assigned

Apr 7, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270598400000",
    "number": "1609191279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 GLENARYE DR",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600467925",
            "telephone_number": "207-756-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 E PERSHING RD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264726",
            "telephone_number": "217-877-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILAKURI",
        "first_name": "MADANA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-07",
        "last_updated": "2010-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.293017",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "14609-040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Chassay, LPC
• Lynette Chausse
• Sundararaj R Cherala, MD
• Youngtak CHI, DDS
• Mary T Chierek, CRNA
• Shalini Chiravuri
• Suren Jenny Chiu, LDN
• Pamela Lou Chmielewski, CCC-SLP/L
• Jennifer Ann Choatie, FNP-BC
• Michael Choi, MD

• Pharmacist in Decatur, IL
• Providers in Decatur, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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.