Organization
CHRISANTHA ANANDAPPA MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISANTHA E ANANDAPPA MD (PHYSICIAN)
(708) 557-1930
Entity
Organization
Contact information
Practice address
2500 W BRADLEY PL STE 100, CHICAGO, IL 60618-4716
(773) 649-0759
(224) 205-3757
Mailing address
702 ASBURY AVE, EVANSTON, IL 60202-2135
(708) 557-1930
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
036.132734
IL
261QM0850X
Adult Mental Health Clinic/Center
4301092315
MI
Other
Enumeration date
12/04/2017
Last updated
03/17/2018
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