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Contact Information

BRAIN AND WELLNESS INSTITUTE LLC
1165 N CLARK ST STE 700
CHICAGO, IL60610-2821
 Phone: 312-636-8671
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for BRAIN AND WELLNESS INSTITUTE LLC

NPI # 1942702386
LBN Legal business name BRAIN AND WELLNESS INSTITUTE LLC
Authorized official NAGAMANI PAVULURI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/01/2018
Last updated 05/23/2024 - About 2 years ago
Identifiers
IL License # 036101082
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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