Organization
KOVELLA PSYCHIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPA NADELLA MD (PHYSICIAN)
(248) 224-0110
Entity
Organization
Contact information
Practice address
2615 WASHINGTON ST, WAUKEGAN, IL 60085-4980
(855) 990-1900
Mailing address
2385 HYBERNIA DR, HIGHLAND PARK, IL 60035-5509
(248) 224-0110
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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