Provider Demographics
NPI:1215163944
Name:PLEIADES PROFESSIONAL LTD
Entity type:Organization
Organization Name:PLEIADES PROFESSIONAL LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRY
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMA
Authorized Official - Middle Name:
Authorized Official - Last Name:EMBAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-718-0066
Mailing Address - Street 1:1255 N SANBURG TER
Mailing Address - Street 2:UNIT 2811
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610
Mailing Address - Country:US
Mailing Address - Phone:312-718-0066
Mailing Address - Fax:
Practice Address - Street 1:30 S MICHIGAN AVE
Practice Address - Street 2:SUITE 304
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60603-3211
Practice Address - Country:US
Practice Address - Phone:312-718-0066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-09
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL360505572084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty