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Susmitha Kowligy, MD
Family Medicine Physician in Berwyn, Illinois
NPI 1780333047

Susmitha Kowligy is a Family Medicine Physician based in Berwyn, IL. Susmitha Kowligy practices in Berwyn, IL and has the professional credentials of MD. The NPI Number for Susmitha Kowligy is 1780333047 and holds a License No. (Illinois).

The current practice location address for Susmitha Kowligy is 3249 Oak Park Ave, Berwyn, IL and can be reached out via phone at 312-543-3632.

Location: 3249 Oak Park Ave, Berwyn, IL, 60402-3429
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780333047
Provider Name
Susmitha Kowligy
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3249 Oak Park Ave, Berwyn, IL, 60402-3429
Phone Number
312-543-3632
Fax Number
Provider Enumeration Date
03/22/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
125080448 01 IL ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
institution
Provider Business Practice Location Address Details
Address
3249 Oak Park Ave
City
Berwyn
State
Illinois
Zip
60402-0715
Phone Number
312-543-3632
Fax Number
person
Provider Business Mailing Address Details
Address
3249 Oak Park Ave
City
Berwyn
State
Illinois
Zip
60402-0715
Phone Number
312-543-3632
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
125080448 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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.
()
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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