Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dheeraj Davis Kalluri

Individual provider Physical Therapy Assistant · NPI 1205727252

Dheeraj Davis Kalluri is a Physical Therapy Assistant in Libertyville, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2025
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Practice location Address checks out

1757 Northwind Blvd
Libertyville, IL 60048-9617
Phone: (224) 206-0200
Fax: (224) 206-0201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160.010417 (IL)

Record details

NPI number1205727252
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 9, 2025
Last updated in NPPESJuly 11, 2025
Certification dateJuly 11, 2025
Mailing address33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258

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