Healthcare Provider Details

I. General information

NPI: 1972189561
Provider Name (Legal Business Name): RECHNA M. KORULA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RECHNA MIRIAM KORULA MD

II. Dates (important events)

Enumeration Date: 03/23/2021
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 W CENTRAL RD
ARLINGTON HEIGHTS IL
60005-2349
US

IV. Provider business mailing address

2650 RIDGE AVE STE 1223
EVANSTON IL
60201-1700
US

V. Phone/Fax

Practice location:
  • Phone: 847-618-7140
  • Fax: 847-618-0228
Mailing address:
  • Phone: 847-982-6715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number036170929
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: