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

Vivek Yanamadala

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477203974

Vivek Yanamadala is a Psychiatry in Chicago, Illinois. Graduated from Ohio State University College of Medicine in 2022, 4 years ago. Accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Trained at
Ohio State University College of Medicine
Licensed in
IL
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

820 S Wood St Ste 100 MC 675
Chicago, IL 60612
Phone: (312) 996-2933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 036.172563 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1477203974
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 27, 2022
Last updated in NPPESJanuary 17, 2025
Certification dateJanuary 17, 2025
Mailing address820 South Wood Street, Suite 100, Mc 675, Chicago, IL 60612

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Also practisesNEUROLOGY
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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