Provider Demographics
NPI:1922118983
Name:CELLA, DAVID F (PHD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:F
Last Name:CELLA
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2650 RIDGE AVE
Mailing Address - Street 2:EVANSTON HOSPITAL
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-1718
Mailing Address - Country:US
Mailing Address - Phone:847-570-1206
Mailing Address - Fax:847-570-1248
Practice Address - Street 1:1001 UNIVERSITY PL
Practice Address - Street 2:SUITE 100
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-3137
Practice Address - Country:US
Practice Address - Phone:847-570-7370
Practice Address - Fax:847-570-8033
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OTH000Medicare UPIN