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

Geeta Bollam, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013151497

Geeta Bollam, MD is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

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

556 E 115th St
Chicago, IL 60628-5740
Phone: (318) 210-1030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036.132495 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1013151497
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 29, 2009
Last updated in NPPESNovember 27, 2023
Certification dateOctober 25, 2020
Mailing address301 W Goethe St, 301c, Chicago, IL 60610-1857

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