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

Individual provider Internal Medicine Physician · NPI 1861409971

Praveen Parvathala, MD is an Internal Medicine in South Holland, Illinois. Qualified in 1995, 31 years ago. Practices with Advocate Health and Hospitals Corporation, a 3,079-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
31
Licensed in
IL
In the registry since
2006
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

100 W 162nd St
South Holland, IL 60473-2003
Phone: (708) 730-2200
Fax: (708) 210-0625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2545 S King Dr, Chicago, IL 60616-2441 — (312) 842-7117

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036-108106 (IL)

Record details

NPI number1861409971
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 2, 2006
Last updated in NPPESSeptember 21, 2022
Certification dateSeptember 21, 2022

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Advocate Health And Hospitals Corporation — 3079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in South Holland