Individual
DR. PAVIL THENAMKODATH CHERIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
EDWARD HINES VA HOSPITAL, MENTAL HEALTH SERVICE LINE - BLG 228, HINES, IL 60141
(708) 202-7817
Mailing address
2027 W OHIO ST, CHICAGO, IL 60612-1515
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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