Provider Demographics
NPI:1740710888
Name:VENKETRAMEN, NEIL
Entity type:Individual
Prefix:
First Name:NEIL
Middle Name:
Last Name:VENKETRAMEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:939 W MADISON ST APT 310
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-2656
Mailing Address - Country:US
Mailing Address - Phone:312-925-7532
Mailing Address - Fax:
Practice Address - Street 1:618 LIBRARY PLACE
Practice Address - Street 2:THE FAMILY INSTITUTE
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201
Practice Address - Country:US
Practice Address - Phone:312-609-5300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-12
Last Update Date:2017-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist