Individual
SAMEERA GUTTIKONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612
(312) 942-2729
Mailing address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
336.146416
IL
2084P0800X
Psychiatry Physician
Primary
036-146416
IL
Other
Enumeration date
03/15/2013
Last updated
04/26/2021
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