Seema Venkatachalam, M.D.
Individual provider Active NPI Specialist · Chgo, IL
NPI 1790712776 · NPPES record last updated Dec 5, 2008
Key facts
- NPI
- 1790712776
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 036-119246 (IL)
- Practice address
- 900 N. Kingsbury St
Suite 130N
Chgo, IL 60610 - Phone
- (312) 775-1100
- Fax
- (312) 775-1112
- NPI assigned
- Jun 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-119246 | IL | MD | Specialist |
| 56498 | GA | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Together Women'S Health Medical Group of Illinois, PLLC | Specialist | Past |
Accepting new patients |
Interoperability endpoints
- seema.venkatachalam.1@29023.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 56498 | GA | |
| Specialist | 174400000X | 036-119246 | IL | Yes |
Addresses
Primary practice location
900 N. Kingsbury St
Suite 130N
Chgo, IL 60610
Mailing address
900 N. Kingsbury St
Suite 130N
Chgo, IL 60610
Phone (312) 775-1100
Other providers in Chgo, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.