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Individual

DIVYASRI GONGIREDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
625 N MICHIGAN AVE STE 2250, CHICAGO, IL 60611
(312) 640-7740
Mailing address
625 N MICHIGAN AVE STE 2250, CHICAGO, IL 60611-3348
(312) 640-7740

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036.149609
IL

Other

Enumeration date
04/20/2014
Last updated
06/26/2019
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