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Shobha Nookala, MD
Child & Adolescent Psychiatry Physician in Peoria, Illinois
NPI 1154336691

Shobha Nookala is a Child & Adolescent Psychiatry Physician based in Chicago, IL and is specialized in Child & Adolescent Psychiatry. Shobha Nookala practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Shobha Nookala is 1154336691 and holds a License No. (Illinois).

The current practice location address for Shobha Nookala is 900 Main St, Peoria, IL and can be reached out via phone at 309-672-3100.

Location: 900 Main St, Peoria, IL, 60686-0001
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Provider Profile Details
NPI Number
1154336691
Provider Name
Shobha Nookala
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
900 Main St, Peoria, IL, 60686-0001
Phone Number
309-672-3100
Fax Number
Provider Enumeration Date
07/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
088318 01 IL HEALTH ALLIANCE
472292 01 IL HEALTHLINK
7215059 01 IL BCBS PPO
institution
Provider Business Practice Location Address Details
Address
900 Main St
City
State
Zip
61602-1005
Phone Number
309-672-3100
Fax Number
person
Provider Business Mailing Address Details
Address
900 Main St
City
State
Zip
61602-1005
Phone Number
309-672-3100
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Child & Adolescent Psychiatry
Taxonomy
License No.
(Illinois)
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
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