Individual
POOJA AGARWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-5372
Mailing address
2554 W LAWRENCE AVE, CHICAGO, IL 60625-2930
(773) 682-4903
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
125076259
IL
Other
Enumeration date
05/03/2019
Last updated
06/10/2020
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