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

Tejaswi Suma Dittakavi

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124580162

Tejaswi Suma Dittakavi is a Student in an Organized Health Care Education/Training Program in Oak Lawn, Illinois. Licensed in Illinois. Registered with an NPI since 2019.

Licensed in
IL
In the registry since
2019

Practice location Address checks out

4440 W 95th St
Oak Lawn, IL 60453-2600
Phone: (708) 684-8000
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (IL)

Record details

NPI number1124580162
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 1, 2019
Last updated in NPPESApril 1, 2019
Mailing address4440 W 95th St, Oak Lawn, IL 60453-2600

Other providers in Oak Lawn