Sucheta Connolly

NPI 1700984085 - Psychiatry & Neurology - 2084P0804X

NPI Details
NPI 1700984085
Gender Female
Enumeration Date 09/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1740 W TAYLOR ST
CHICAGO IL, 60612-7232, US
Phone (866) 600-2273
Fax
Business Location
809 S MARSHFIELD AVE
9TH FLOOR (M/C 732)
CHICAGO IL, 60612-4305, US
Phone (312) 996-7699
Fax (312) 996-1001
Toxanomy
Taxonomy Code 2084P0804X
License State Illinois
License Number 036078278
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According to our database, Sucheta Connolly NPI is 1700984085, taxonomy code is 2084P0804X and license number is 036078278, license state is located at Illinois. Sucheta Connolly physically located at 1740 W Taylor St, Chicago IL, 60612-7232. NPI Number Sucheta Connolly has the Individual type.

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1700984085 NPI number is provided on an as is basis without warranty of any kind. 1700984085 is maintained by the National Plan & Provider Enumeration System. The contents of Sucheta Connolly are for informational purposes only.