Organization
PRESTIGE PSYCHIATRY 1 LLC
Active
Organization
PRESTIGE PSYCHIATRY 1 LLC
Active
Other names
Prestige Psychiatry1 LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHUJA UDDIN MD (PRESIDENT)
(630) 520-4657
Entity
Organization
Contact information
Practice address
1413 S ADDISON AVE, LOMBARD, IL 60148-4118
(630) 520-4657
Mailing address
1413 S ADDISON AVE, LOMBARD, IL 60148-4118
(630) 520-4657
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/13/2022
Last updated
07/10/2023
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