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

Individual provider Internal Medicine Physician · NPI 1962413815

Latha Mariyappa, MD is an Internal Medicine Physician in Chicago, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
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

4646 N Marine Dr
Chicago, IL 60640-5759
Phone: (773) 564-5216
Fax: (773) 564-5215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1535 S Monterey Ave, Villa Park, IL 60181-3434 — (847) 902-9125

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 036108285 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 036108285 (IL)

Record details

NPI number1962413815
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 10, 2006
Last updated in NPPESMarch 7, 2023
Certification dateJanuary 27, 2023

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