Individual
NENE TAKAHASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2160 S 1ST AVE, BLDG 105, SUITE 2840A, MAYWOOD, IL 60153
(708) 216-5536
Mailing address
2160 S 1ST AVE, BLDG 105, SUITE 2840A, MAYWOOD, IL 60153-3328
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036172044
IL
2084P0800X
Psychiatry Physician
Primary
125080548
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2022
Last updated
01/21/2025
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