| NPI | 1942702386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAGAMANI PAVULURI Owner 312-636-8671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IL 036101082) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2024-05-23 |