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Vasanth Kattalai Kailasam, MD
Pain Medicine (Psychiatry & Neurology) Physician in Crystal Lake, Illinois
NPI 1275882730

Vasanth Kattalai Kailasam is a Pain Medicine (Psychiatry & Neurology) Physician based in Brewer, IL and is specialized in Pain Medicine. Vasanth Kattalai Kailasam practices in Crystal Lake, IL and has the professional credentials of MD. The NPI Number for Vasanth Kattalai Kailasam is 1275882730 and holds a License No. 60723587 (Illinois).

The current practice location address for Vasanth Kattalai Kailasam is 875 South Route 31, Crystal Lake, IL and can be reached out via phone at 779-220-5500. You can also correspond with Vasanth Kattalai Kailasam through the mailing address at 43 WHITING HILL RD STE 300, BREWER, ME - 04412-1006 (mailing address contact number: ).

Location: 875 South Route 31, Crystal Lake, IL, 04412-1006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275882730
Provider Name
Vasanth Kattalai Kailasam
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
875 South Route 31, Crystal Lake, IL, 04412-1006
Phone Number
779-220-5500
Fax Number
Provider Enumeration Date
08/30/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
875 South Route 31
City
Crystal Lake
State
Illinois
Zip
60014
Phone Number
779-220-5500
Fax Number
person
Provider Business Mailing Address Details
Address
875 South Route 31
City
Crystal Lake
State
Illinois
Zip
60014
Phone Number
779-220-5500
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Pain Medicine
Taxonomy
2084P2900X
License No.
()
Definition
A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
60723587 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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