Provider Demographics
NPI:1467495994
Name:KADAKIA, ANISH R (MD)
Entity Type:Individual
Prefix:DR
First Name:ANISH
Middle Name:R
Last Name:KADAKIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:676 N SAINT CLAIR ST
Mailing Address - Street 2:SUITE 1350
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2927
Mailing Address - Country:US
Mailing Address - Phone:312-926-4444
Mailing Address - Fax:312-926-4643
Practice Address - Street 1:675 N SAINT CLAIR ST
Practice Address - Street 2:GALTER 17-100
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-5975
Practice Address - Country:US
Practice Address - Phone:312-926-4444
Practice Address - Fax:312-926-4643
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036-113374207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery