# DRS SRIPADA MD SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598919755
- **Authorized official:** DR. TERESA SRIPADA MD (SECRETARY)
- **Authorized official phone:** (847) 835-9085

## Contact information

- **Practice address:** 361 PARK AVE, STE 202, GLENCOE, IL 60022-1587
- **Practice address phone:** (847) 835-9085
- **Mailing address:** 361 PARK AVE, STE 202, GLENCOE, IL 60022-1587
- **Mailing address phone:** (847) 835-9085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 36054375 | IL | Yes |

## Other

- **Enumeration date:** 11/13/2008
- **Last updated:** 11/13/2008
