Individual
DR. NITAYA CHAWLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
850 W IRVING PARK RD, CHICAGO, IL 60613-3077
(773) 975-6721
(630) 323-9757
Mailing address
5 KINGSTON DR, OAK BROOK, IL 60523-1757
(630) 479-9752
(630) 323-9757
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
18000541
IL
103TC0700X
Clinical Psychologist
Primary
071008316
IL
Other
Enumeration date
09/24/2007
Last updated
03/22/2012
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