| Neeliyara Inc | |
|
1s045 Spring Road Unit 1g Oakbrook Terrace IL 60181 | |
| (847) 217-7292 | |
| (708) 636-2324 |
| Full Name | Neeliyara Inc |
|---|---|
| Speciality | Psychologist |
| Location | 1s045 Spring Road, Oakbrook Terrace, Illinois |
| Authorized Official Name and Position | Teresa Neeliyara (OWNER) |
| Authorized Official Contact | 8472177292 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neeliyara Inc 1s045 Spring Road Unit 1g Oakbrook Terrace IL 60181 Ph: (847) 217-7292 | Neeliyara Inc 1s045 Spring Road Unit 1g Oakbrook Terrace IL 60181 Ph: (847) 217-7292 |
| NPI Number | 1922588581 |
|---|---|
| Provider Enumeration Date | 08/14/2018 |
| Last Update Date | 08/14/2018 |
| Medicare PECOS PAC ID | 6507110152 |
|---|---|
| Medicare Enrollment ID | O20181116001807 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922588581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Teresa Neeliyara |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659411304 PECOS PAC ID: 8022188317 Enrollment ID: I20080529000228 |
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