Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brain and Wellness Institute LLC

Organization Child & Adolescent Psychiatry Physician · NPI 1942702386

Brain and Wellness Institute LLC is a Child & Adolescent Psychiatry Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2018.

Licensed in
IL
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1165 N Clark St Ste 700
Chicago, IL 60610-2821
Phone: (312) 636-8671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 036101082 (IL)

Record details

NPI number1942702386
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nagamani Pavuluri — Owner · (312) 636-8671
NPI enumeratedMarch 1, 2018
Last updated in NPPESMay 23, 2024
Certification dateMay 23, 2024
Mailing address30 W Oak St Apt 14a, Chicago, IL 60610-8724

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