Search › Illinois › 103TB0200X
Geetha Munisamy, PH.D
NPI 1700175833 · on the registry since 2011 · sole proprietor
Practice
- Address
- 1420 Tower Hill Dr
Woodridge, IL 60517 - Phone
- (312) 961-1557
- Organisation at this address
- Revive Psychological Services P.C.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 103TB0200X
103TB0200X
- Also registered as
- 103TC0700X
103TF0000X
103TH0004X
103TP2701X - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-03-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois