Provider Demographics
NPI:1760478671
Name:ALLOJU, KRIS (MD)
Entity Type:Individual
Prefix:
First Name:KRIS
Middle Name:
Last Name:ALLOJU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:288 ARBORETUM DR
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-7116
Mailing Address - Country:US
Mailing Address - Phone:630-705-0065
Mailing Address - Fax:
Practice Address - Street 1:288 ARBORETUM DR
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-7116
Practice Address - Country:US
Practice Address - Phone:630-705-0065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-26
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL336-045412207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F15047Medicare UPIN
ILK07070Medicare ID - Type Unspecified