1. Home
  2. Directory
  3. Illinois
  4. Oak Lawn
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

TEJASWI SUMA DITTAKAVI
NPI 1124580162
Student in an Organized Health Care Education/Training Program in Oak Lawn, IL

Active since April 01, 2019
4440 W 95TH ST, OAK LAWN, IL 60453(708) 684-8000 Get Directions Write a Review

NPPES record last updated: April 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tejaswi Suma Dittakavi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TEJASWI SUMA DITTAKAVI (NPI 1124580162) is an individual student in an organized health care education/training program in Oak Lawn, Illinois and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1124580162
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTEJASWI SUMA DITTAKAVI
Location Address4440 W 95TH STOak Lawn, IL 60453-2600
Mailing Address4440 W 95th StOak Lawn, IL 60453-2600 · (708) 684-8000
Phone(708) 684-8000
Sole ProprietorNo
Enumeration DateApril 1, 2019
✔ NPI 1124580162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4440 W 95TH ST, Oak Lawn, IL 60453
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK ADRIAN FAASSE MD
Urology
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-4557
DR. MANDY LUMA ENSHIWAT M.D.
Internal Medicine
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-8000
DR. KIM MARIE MIILLER MA, PSYD
Psychologist (Clinical)
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-7482
JENNIFER MARSIGLIO
Occupational Therapist (Physical Rehabilitation)
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-5425
TRACI LYNN TAGUE MA, CCC-SLP
Speech-Language Pathologist
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-1989
ELIZABETH A FOLLIARD OTR/L
Occupational Therapist
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-5369
MICHAEL CIRONE M.D.
Emergency Medicine
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-5375
ANNA MANILLA
Speech-Language Pathologist
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (248) 701-7523

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tejaswi Dittakavi's NPI number?

The NPI number for Tejaswi Dittakavi is 1124580162. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Tejaswi Dittakavi located?

Tejaswi Dittakavi practices at 4440 W 95th St, Oak Lawn, IL 60453. The listed phone number is (708) 684-8000.

What is Tejaswi Dittakavi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Tejaswi Dittakavi was last updated on April 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.