| NPI | 1083252480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMESH BABU VEMURI Md/Owner 815-444-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2019-12-16 |