MEDICARE: SIVAKAMI THAYU MD

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	036107839	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831185701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIVAKAMI THAYU MD

Provider Business Mailing Address
First Line	:	29373 NETWORK PL
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60673-1293
Country	:	US
Telephone Number	:	847-390-5900
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 SURRYSE RD STE 100
Second Line	:
City	:	LAKE ZURICH
State	:	IL
Zip	:	60047-3217
Country	:	US
Telephone Number	:	847-438-2144
Fax Number	:	847-438-4654

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

Provider Enumeration Date	:	09/26/2005
Last Update Date	:	05/12/2022

Similar Medicare Providers

1285793703 — DR. CLAUDIA G. PITTS PH.D.
Practice Location Address:

350 SURRYSE RD , SUITE 300
LAKE ZURICH, IL
60047-3217

Practice Phone: 847-726-2400
Practice Fax:

1447314497 — MARIA CHURAK P.T.
Practice Location Address:

350 SURRYSE RD
LAKE ZURICH, IL
60047-3217

Practice Phone: 847-842-4057
Practice Fax:

1659590552 — JOYCE WOOD PA-C
Practice Location Address:

350 SURRYSE RD , SUITE 100
LAKE ZURICH, IL
60047-3217

Practice Phone: 847-438-2144
Practice Fax: 847-719-0335

1619155850 — KELLIE L TRUPPA
Practice Location Address:

350 SURRYSE RD , SUITE 250
LAKE ZURICH, IL
60047-3217

Practice Phone: 847-842-4057
Practice Fax: 847-842-4057

1699940361 — DR. PANTILA VANICHAKARN BATEMAN M.D.
Practice Location Address:

350 SURRYSE RD STE 100
LAKE ZURICH, IL
60047-3217

Practice Phone: 815-206-5700
Practice Fax: 847-382-1771

1700034865 — MS. JENNIE LYNN OSTRANDER M.A.
Practice Location Address:

350 SURRYSE RD , SUITE 250
LAKE ZURICH, IL
60047-3217

Practice Phone: 847-842-4057
Practice Fax: 847-842-4059

Directions to “ SIVAKAMI THAYU MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.