MEDICARE: DR. SREEKANT CHERUKURI 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	207Y00000X	Otolaryngology Physician	01058090A	IN
2	207Y00000X	Otolaryngology Physician	036118380	IL

General Provider Information

NPI Number	:	1558316588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SREEKANT CHERUKURI M.D.

Provider Business Mailing Address
First Line	:	389 S SCHMALE RD
Second Line	:
City	:	CAROL STREAM
State	:	IL
Zip	:	60188-2756
Country	:	US
Telephone Number	:
Fax Number	:	219-769-5830

Provider Business Practice Location Address
First Line	:	2210 DEAN ST STE M
Second Line	:
City	:	ST CHARLES
State	:	IL
Zip	:	60175-1059
Country	:	US
Telephone Number	:	630-668-9610
Fax Number	:

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

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	02/28/2024

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Directions to “ DR. SREEKANT CHERUKURI M.D.” Practice Location

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