Organization
PEA INC
Active
Organization
PEA INC
Active
Other names
General Psychiatry Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KISHWAR ALI MD (PRESIDENT)
(630) 898-1031
Entity
Organization
Contact information
Practice address
3845 MCCOY DR, SUITE 109, AURORA, IL 60504-4428
(630) 898-1031
(630) 898-0984
Mailing address
3845 MCCOY DR, SUITE 109, AURORA, IL 60504-4428
(630) 898-1031
(630) 898-0984
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/29/2007
Last updated
04/01/2013
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