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

Mrs. Amitha Mushyam, MD

Individual provider Family Medicine Physician · NPI 1972729283

Mrs. Amitha Mushyam, MD is a Family Practice in Crystal Lake, Illinois. Qualified in 2008, 18 years ago. Practices with Central Dupage Physician Group, a 1,094-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
18
Licensed in
IL
In the registry since
2007
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

360 Station Dr
Crystal Lake, IL 60014
Phone: (815) 338-6600
Fax: (815) 455-8044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 10350 Haligus Rd, Huntley, IL 60142-9545 — (815) 338-6600
  • 2507 N Richmond Rd, McHenry, IL 60051-5407
  • 1925 Huntley Rd, West Dundee, IL 60118-9301 — (815) 338-6600

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036120455 (IL)

Record details

NPI number1972729283
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 17, 2007
Last updated in NPPESOctober 19, 2018

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Central Dupage Physician Group — 1094 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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