Individual
VENKATA C JAMPALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
535 PARK AVE E, PRINCETON, IL 61356-2537
(815) 875-4531
(309) 623-2299
Mailing address
20374 W BUCKTHORN CT, MUNDELEIN, IL 60060-3319
(937) 475-7809
(309) 623-2299
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036063756
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036063756
—
IL
Enumeration date
07/19/2005
Last updated
04/29/2026
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