Provider Demographics
NPI:1841428281
Name:KALAKOTA, KAPILA (MD)
Entity Type:Individual
Prefix:DR
First Name:KAPILA
Middle Name:
Last Name:KALAKOTA
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 1:700 COMMERCE DR
Mailing Address - Street 2:SUITE 500
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1546
Mailing Address - Country:US
Mailing Address - Phone:847-698-0600
Mailing Address - Fax:847-698-0601
Practice Address - Street 1:1 SALT CREEK LN
Practice Address - Street 2:AMITA HEALTH CANCER INSTITUTE
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-2936
Practice Address - Country:US
Practice Address - Phone:630-286-5808
Practice Address - Fax:630-286-5966
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-24
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125.0563542085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL778401OtherMEDICARE PROVIDER NUMBER
IL036-135657Medicaid
IL558620OtherMEDICARE PROVIDER NUMBER