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

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1083316129

Prathima Kandukuri, DO is a Physical Medicine & Rehabilitation Physician in Chicago, Illinois. Licensed in Illinois and Texas. Registered with an NPI since 2023.

Licensed in
IL, TX
In the registry since
2023
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

600 S Paulina St
Chicago, IL 60612-3806
Phone: (888) 352-7874
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Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 125084576 (IL)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 1083316129 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 125084576 (IL)

Record details

NPI number1083316129
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 21, 2023
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024
Mailing address600 S Paulina St, Chicago, IL 60612-3806

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