Organization
PREMA CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHINNI CHILAMKURTI PH.D. (OWNER/DIRECTOR)
(847) 548-0024
Entity
Organization
Contact information
Practice address
1800 NATIONS DR, SUITE 211-212, GURNEE, IL 60031-9168
(847) 548-0024
Mailing address
1800 NATIONS DR, SUITE 211-212, GURNEE, IL 60031-9168
(847) 548-0024
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-004368
IL
Other
Enumeration date
12/01/2014
Last updated
08/29/2016
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