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

Pooja Kanthawar, MD

Individual provider Family Medicine Physician · NPI 1053114652

Pooja Kanthawar, MD is a Family Medicine Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025
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

4600 N Ravenswood Ave
Chicago, IL 60640-4510
Phone: (773) 561-7500
Fax: (773) 561-7612
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Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 125.085688 (IL)

Record details

NPI number1053114652
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2025
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025
Mailing address4600 N Ravenswood Ave, Chicago, IL 60640-4510

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