Provider Demographics
NPI:1851471684
Name:RANGACHARI, KRISHNASWAMI (MD)
Entity Type:Individual
Prefix:DR
First Name:KRISHNASWAMI
Middle Name:
Last Name:RANGACHARI
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:LBX 809274, PO BOX 809274
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60680-9274
Mailing Address - Country:US
Mailing Address - Phone:773-445-9696
Mailing Address - Fax:773-445-9590
Practice Address - Street 1:60 E DELAWARE PL
Practice Address - Street 2:15TH FL
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-1495
Practice Address - Country:US
Practice Address - Phone:313-440-5150
Practice Address - Fax:312-440-5151
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILC39155Medicare UPIN
ILL96577Medicare ID - Type UnspecifiedDUPAGE COUNTY
ILL96576Medicare ID - Type UnspecifiedCOOK COUNTY