Kolla, Rajasekhar

Kolla, Rajasekhar is an sole proprietor health care provider with primary practice located at 100 Batson Ct Ste 204 , New Lenox IL 60451-1571. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kolla, Rajasekhar can be contacted via phone (815) 462-1200.

Contact Information

Primary practice address
100 Batson Ct Ste 204 New Lenox IL 60451-1571
Phone: (815) 462-1200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C169363 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036115460 Illinois

Profile Details

NPI number 1720160179
LBN Legal business name Kolla, Rajasekhar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2006
Last updated Mar 7th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720160179 NPPES
Illinois MEDICAID 036115460

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