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

Dr. Lenney G. Kizhakepunnur, MD

Individual provider Anesthesiology Physician · NPI 1093940611

Dr. Lenney G. Kizhakepunnur, MD is an Anesthesiology in Loves Park, Illinois. Qualified in 2009, 17 years ago. Practices with Loyola University Medical Center, a 946-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
17
Licensed in
IL
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2202 Harlem Rd Ste 200
Loves Park, IL 61111-2754
Phone: (815) 877-4848
Fax: (815) 654-5342
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2160 S 1st Ave, Maywood, IL 60153-3328 — (708) 216-9000

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 036.130345 (IL)
Anesthesiology Physician Taxonomy 207L00000X · Licence 125-055883 (IL)

Record details

NPI number1093940611
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 27, 2009
Last updated in NPPESJune 24, 2022
Certification dateJune 24, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Loyola University Medical Center — 946 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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