Individual
DR. SANJAYA DHARMAPURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., M.D.
Contact information
Practice address
1650 W HARRISON ST, GME, 466 ATRIUM, CHICAGO, IL 60612-3800
(312) 942-0312
Mailing address
6547 N MAPLEWOOD AVE, CHICAGO, IL 60645-5317
(773) 895-7730
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
125065061
IL
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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