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Individual

MISS KARUNA BAHADUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
5532 S SHORE DRIVE, #20D, CHICAGO, IL 60637-1999
(773) 241-6108
(773) 251-5724
Mailing address
5532 S SHORE DRIVE, #20D, CHICAGO, IL 60637-1999
(773) 241-6108
(773) 251-5724

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001605220
BLUE CROSS BLUE SHIELD IL
IL
Enumeration date
03/28/2007
Last updated
07/08/2007
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