| Prema Center, Inc. | |
|
1800 Nations Dr Suite 211-212 Gurnee IL 60031-9168 | |
| (847) 548-0024 | |
| Not Available |
| Full Name | Prema Center, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1800 Nations Dr, Gurnee, Illinois |
| Authorized Official Name and Position | Chinni Chilamkurti (OWNER/DIRECTOR) |
| Authorized Official Contact | 8475480024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prema Center, Inc. 1800 Nations Dr Suite 211-212 Gurnee IL 60031-9168 Ph: (847) 548-0024 | Prema Center, Inc. 1800 Nations Dr Suite 211-212 Gurnee IL 60031-9168 Ph: (847) 548-0024 |
| NPI Number | 1487051876 |
|---|---|
| Provider Enumeration Date | 12/01/2014 |
| Last Update Date | 08/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487051876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071-004368 (Illinois) | Primary |
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