THAKSHAKAMANI MADAMALA

CRYSTAL LAKE, IL
NPI1588663843
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IL  036-085807)
Enumeration Date2005-07-19
Last Update Date2012-07-05
Business Address
-- THAKSHAKAMANI MADAMALA MD
500 COVENTRY LN SUITE 205
CRYSTAL LAKE, IL 60014-7579
Phone number: 815-455-7100
Mailing Address
-- THAKSHAKAMANI MADAMALA MD
500 COVENTRY LN SUITE 205
CRYSTAL LAKE, IL 60014-7579
Phone number: 815-455-7100