Provider Demographics
NPI:1922588581
Name:NEELIYARA INC
Entity Type:Organization
Organization Name:NEELIYARA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:NEELIYARA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:847-217-7292
Mailing Address - Street 1:1S045 SPRING ROAD
Mailing Address - Street 2:UNIT 1G
Mailing Address - City:OAKBROOK TERRACE
Mailing Address - State:IL
Mailing Address - Zip Code:60181
Mailing Address - Country:US
Mailing Address - Phone:847-217-7292
Mailing Address - Fax:708-636-2324
Practice Address - Street 1:1S045 SPRING ROAD
Practice Address - Street 2:UNIT 1G
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181
Practice Address - Country:US
Practice Address - Phone:847-217-7292
Practice Address - Fax:708-636-2324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-14
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty