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

Venkat Manish Pathuri

Individual provider Surgery Physician · NPI 1912704453

Venkat Manish Pathuri is a Surgery Physician in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2025

Practice location Address checks out

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone: (773) 702-1000
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 125.087626 (IL)

Record details

NPI number1912704453
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 3, 2025
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026
Mailing address180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686

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