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

Mahima Vemuganti

Individual provider Physician Assistant · NPI 1598470346

Mahima Vemuganti is a Physician Assistant in Melrose Park, Illinois. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2023
Specialties on file
2

Practice location Address checks out

701 W North Ave
Melrose Park, IL 60160-1612
Phone: (708) 681-3200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085009560 (IL)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1598470346
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 17, 2023
Last updated in NPPESMay 31, 2023
Certification dateMay 31, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Melrose Park