Organization
PILSEN PSYCHIATRIC CLINIC & ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISH VENOO MD (OWNER)
(312) 738-3355
Entity
Organization
Contact information
Practice address
1870 S BLUE ISLAND AVE, CHICAGO, IL 60608-3013
(312) 738-3355
Mailing address
1870 S BLUE ISLAND AVE, CHICAGO, IL 60608-3013
(312) 738-3355
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
Other
Enumeration date
10/29/2012
Last updated
11/29/2012
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