Provider Demographics
NPI:1083825392
Name:KATTA, SILPA (MD)
Entity Type:Individual
Prefix:DR
First Name:SILPA
Middle Name:
Last Name:KATTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17W682 BUTTERFIELD ROAD
Mailing Address - Street 2:
Mailing Address - City:OAKBROOK TERRACE
Mailing Address - State:IL
Mailing Address - Zip Code:60181
Mailing Address - Country:US
Mailing Address - Phone:630-909-6500
Mailing Address - Fax:630-268-4510
Practice Address - Street 1:17W682 BUTTERFIELD ROAD
Practice Address - Street 2:
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181
Practice Address - Country:US
Practice Address - Phone:630-909-6500
Practice Address - Fax:630-268-4510
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036126134208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036126134Medicaid
IL04515143OtherBCBS#
IL390361033Medicare PIN
IL036126134Medicaid
0727500001Medicare NSC