KPR Endocrinology LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

036121291 Issued in IL

Legal business name

KPR ENDOCRINOLOGY LLC

Practice address

621 Plainfield Rd
St 107
Willowbrook, IL 60527-5343

Phone

(708) 446-7527

NPI assigned

Mar 22, 2016

Organization subpart

No

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

Authorized official

Name

Sudha K Yalamanchi, M.D.

Title

Sole Member

Phone

(630) 487-3736

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1740642628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GLENDALE AVE",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212829",
            "telephone_number": "630-487-3736",
            "fax_number": "630-487-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 PLAINFIELD RD",
            "address_2": "ST 107",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275343",
            "telephone_number": "708-446-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KPR ENDOCRINOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "YALAMANCHI",
        "authorized_official_first_name": "SUDHA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "630-487-3736",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036121291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samyukta Koppula, M.D.
• Stephanie A Korby, PHARMD
• Leslie Ann Korotka, D.P.T.
• Anna Maria Koziel, APRN, FNP-C
• Monika Sylvia Kozuch
• Danielle Kraimer, OTR/L
• Karen C Krieg, D.C.
• Amanda Krusen, APRN
• Patricia Kuenzi, ANP-BC
• Janet Kukulski

• Endocrinology, Diabetes & Metabolism Physician in Willowbrook, IL
• Providers in Willowbrook, IL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.