Healthcare Provider Details

I. General information

NPI: 1962320630
Provider Name (Legal Business Name): DR ANUPAMA KRISHNAMURTHY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26W285 GENEVA RD
WINFIELD IL
60187
US

IV. Provider business mailing address

3411 WHITE EAGLE DR
NAPERVILLE IL
60564-4608
US

V. Phone/Fax

Practice location:
  • Phone: 415-412-6294
  • Fax:
Mailing address:
  • Phone: 415-412-6294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANUPAMA KRISHNAMURTHY
Title or Position: SOLE MEMBER/MANAGER
Credential: DDS
Phone: 415-412-6294