Individual
VIVEK YANAMADALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
820 SOUTH WOOD STREET, SUITE 100, MC 675, CHICAGO, IL 60612
(312) 996-2933
Mailing address
820 SOUTH WOOD STREET, SUITE 100, MC 675, CHICAGO, IL 60612
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036.172563
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2022
Last updated
01/17/2025
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