Vijayalakshmi Thota DO SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036088719 Issued in IL

Legal business name

VIJAYALAKSHMI THOTA DO SC

Practice address

15300 West Ave
Suite 303
Orland Park, IL 60462-4600

Phone

(708) 349-6713

NPI assigned

Sep 10, 2007

Organization subpart

No

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

Authorized official

Name

Vijayalakshmi Thota, DO

Title

Owner/Physician

Phone

(708) 349-6713

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1801081112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 WEST AVE",
            "address_2": "SUITE 303",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 WEST AVE",
            "address_2": "SUITE 303",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624600",
            "telephone_number": "708-349-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIJAYALAKSHMI THOTA DO SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "THOTA",
        "authorized_official_first_name": "VIJAYALAKSHMI",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "708-349-6713",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036088719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0001627062",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036088719",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Vicencio, PSYD
• Vanessa Vickers, D.C.
• Sara Vickery, MS CCC-SLP/L
• Buen Vidad
• Vijayalakshmi Thota DO
• Olga M Vila-Sola, MD
• Gloria Villa, COTA
• Olivia Villa, MS, BCBA
• M Rosario Villanueva-Khan, MA/MA/LCP
• Julie Villarejo, L.P.C

• Internal Medicine Physician in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.