Provider Demographics
NPI:1902219066
Name:MALHOTRA, KRITHIKA (PHD)
Entity Type:Individual
Prefix:
First Name:KRITHIKA
Middle Name:
Last Name:MALHOTRA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1475 E BELVIDERE RD UNIT 385
Mailing Address - Street 2:
Mailing Address - City:GRAYSLAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60030-2026
Mailing Address - Country:US
Mailing Address - Phone:312-926-0106
Mailing Address - Fax:312-503-1377
Practice Address - Street 1:1475 E BELVIDERE RD UNIT 385
Practice Address - Street 2:
Practice Address - City:GRAYSLAKE
Practice Address - State:IL
Practice Address - Zip Code:60030-2026
Practice Address - Country:US
Practice Address - Phone:312-926-0106
Practice Address - Fax:312-503-1377
Is Sole Proprietor?:No
Enumeration Date:2014-06-06
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2456103T00000X
IL071010637103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist