Individual
PALLAVI VINODHA BABU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 942-3232
Mailing address
1725 W HARRISON ST STE 950, CHICAGO, IL 60612-3841
(312) 942-3232
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071011119
IL
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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