Provider Demographics
NPI:1013551472
Name:WORK & PILLAY SC
Entity Type:Organization
Organization Name:WORK & PILLAY SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:KRUSHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PILLAY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:916-342-7015
Mailing Address - Street 1:1203 W AUGUSTA BLVD APT 2S
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60642-4327
Mailing Address - Country:US
Mailing Address - Phone:916-342-7015
Mailing Address - Fax:
Practice Address - Street 1:2233 W DIVISION ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-8151
Practice Address - Country:US
Practice Address - Phone:916-342-7015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-29
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty