DR. PENCHALA SOMPALLI (NPI# 1598757817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598757817 |
| Entity Type | Individual |
| Full Name | DR. PENCHALA SOMPALLI |
| Credential | M.D. |
| Practice Address |
6084 S Archer Ave Suite 101 Chicago IL 60638-2747 |
| Mailing Address |
8700 W 95th St Suite 6 Hickory Hills IL 60457-2700 |
| Practice Telephone | 7738844152 |
| Practice Fax Number | 7084302417 |
| Mailing Telephone | 7084302400 |
| Mailing Fax Number | 7084302417 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | IL | Other Service Providers |
| Street Address |
6084 S ARCHER AVE SUITE 101 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60638-2747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548640212 | Mount Sinai Community Foundation | Urology | 6084 S Archer Ave, Ste 202, Chicago, IL 60638-2747 | 2015-06-08 |
| 1235546037 | Mount Sinai Community Foundation | Family Medicine | 6084 S Archer Ave, Chicago, IL 60638-2747 | 2014-07-14 |
| 1124465844 | Katarzyna Helena Rogala | Family Medicine | 6084 S Archer Ave, Chicago, IL 60638-2747 | 2013-06-04 |
| 1366751935 | Donald Woznica Jr. | Family Medicine | 6084 S Archer Ave, Chicago, IL 60638-2747 | 2010-09-30 |
| 1821294141 | Pitu G Punjabi Md Sc | Internal Medicine | 6084 S Archer Ave, Ste 100, Chicago, IL 60638-2747 | 2007-06-24 |
| 1215058656 | Khandeparker, Sc. | Internal Medicine | 6084 S Archer Ave, Suite 202, Chicago, IL 60638-2747 | 2007-04-03 |
| 1740358126 | Robert J Kash | Internal Medicine | 6084 S Archer Ave, Chicago, IL 60638-2747 | 2006-12-01 |
| 1699852939 | Bindiganavle G Shreenivas | Internal Medicine | 6084 S Archer Ave, Chicago, IL 60638-2747 | 2006-11-01 |
| 1467530972 | Raghu R Vollala Md Sc | Internal Medicine | 6084 S Archer Ave, Chicago, IL 60638-2747 | 2006-11-01 |
| 1487675989 | P N Sompalli Md Sc | Specialist | 6084 S Archer Ave, Chicago, IL 60638-2747 | 2006-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931952 | Dawid Bula | Pharmacist | 7090 S Cicero Ave, Bedford Park, IL 60638 | 2020-10-30 |
| 1386278430 | Adara Simonelli | Physician Assistant | 6317 S Lorel Avenue, Chicago, IL 60638 | 2020-02-27 |
| 1891343711 | Marie Dipasquale | Technician | 5837 So. Natoma Ave, Chgo, IL 60638 | 2019-09-04 |
| 1316434400 | Ab Dental Professionals LLC | Dentist | 5672 South Archer Avenue, Chicago, IL 60638 | 2018-04-16 |
| 1427563204 | Bethany Elkington | Occupational Therapist | 5764 South Archer Ave, Chicago, IL 60638 | 2017-12-03 |
| 1952759854 | Ismael Gutierrez | Family Medicine | 6084 W Archer Ave, Chicago, IL 60638 | 2016-06-01 |
| 1336533314 | Claude Lucas King | Counselor | 6235 S Major Ave Apt 1, Chicago, IL 60638 | 2015-03-27 |
| 1538594395 | Mohammad Joudeh | Chiropractor | 4844 S Cicero Ave, Chicago, IL 60638 | 2013-09-11 |
| 1548602428 | Clearing Vision Professional Corporation | Optometrist | 5718 W. 63rd St., Chicago, IL 60638 | 2013-07-22 |
| 1184963134 | Raquel Ana Eguia | Physical Therapist | 5658 S. Parkside Ave, Chicago, IL 60638 | 2013-02-12 |
| Find all providers in zip 60638 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346899630 | Jeremy Gantz Morse | Specialist | 815 W Buena Ave, Chicago, IL 60613-1694 | 2019-09-09 |
| 1619539632 | Benjamin Mendoza | Specialist | 6303 W 63rd St Unit 3c, Chicago, IL 60638-7015 | 2019-06-29 |
| 1811471808 | Judith M Penn | Specialist | 8312 S Kedzie Ave, Chicago, IL 60652-3309 | 2018-09-17 |
| 1841774825 | Matthew E Huggins | Specialist | 4553 W 56th St Apt 204c, Chicago, IL 60629-5389 | 2018-09-17 |
| 1750860177 | Muhammad Asim Khan | Specialist | 60 E Delaware Pl, Chicago, Il 60611, 14th Floor Urology- Andrology Clinic, Chicago, IL 60611 | 2018-08-07 |
| 1922502657 | Shauntay Robertson | Specialist | 7342 S Richmond St, Chicago, IL 60629-3015 | 2018-03-19 |
| 1114448644 | Ageless Men's Health Holdings Inc | Specialist | 1729 N Clybourn Ave, Chicago, IL 60614-6503 | 2017-07-06 |
| 1447798871 | Andria Miller | Specialist | 840 N Western Ave, Chicago, IL 60622-4638 | 2017-02-06 |
| 1710425129 | Rtb Sc | Specialist | 5015 N. Paulina #225, Chicago, IL 60640 | 2017-02-06 |
| 1881137354 | Joy Deliverance Williamson | Specialist | 3863 W Flournoy St, Apt. 1w, Chicago, IL 60624-3617 | 2016-11-30 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.