Individual
DR. NAGA PUSHPA GUNTUPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 N WALL ST STE B402, KANKAKEE, IL 60901-2940
(815) 937-1237
(815) 933-0662
Mailing address
400 N WALL ST STE B402, KANKAKEE, IL 60901-2940
(815) 937-1237
(815) 933-0662
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036148184
IL
2084P0800X
Psychiatry Physician
262517
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036148184
—
IL
Enumeration date
06/30/2015
Last updated
11/27/2023
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