MEDICARE: SATHISH KUMAR CULLATH HARIKRISHNAN M.D.,

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	87710	OH
2	208M00000X	Hospitalist Physician	336.081335	IL
3	208M00000X	Hospitalist Physician	58348	WI

General Provider Information

NPI Number	:	1861421869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SATHISH KUMAR CULLATH HARIKRISHNAN M.D.,

Provider Business Mailing Address
First Line	:	921 KINGS CANYON DR
Second Line	:
City	:	STREAMWOOD
State	:	IL
Zip	:	60107-4510
Country	:	US
Telephone Number	:	312-404-9818
Fax Number	:

Provider Business Practice Location Address
First Line	:	921 KINGS CANYON DR
Second Line	:
City	:	STREAMWOOD
State	:	IL
Zip	:	60107-4510
Country	:	US
Telephone Number	:	312-404-9818
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2006
Last Update Date	:	11/27/2015

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