Individual
ANIRUDDHA DEKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 HARRISON ST, OAK PARK, IL 60304-1533
(708) 628-8000
(708) 406-1503
Mailing address
215 HARRISON ST, OAK PARK, IL 60304-1533
(708) 628-8000
(708) 406-1503
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
125.072571
IL
2084P0800X
Psychiatry Physician
70228
CT
Other
Enumeration date
06/01/2018
Last updated
05/24/2024
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