Provider Demographics
NPI:1902203748
Name:COMPASS CONSULTING INTERNATIONAL
Entity Type:Organization
Organization Name:COMPASS CONSULTING INTERNATIONAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISHNA
Authorized Official - Middle Name:K
Authorized Official - Last Name:TALLURI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-649-3530
Mailing Address - Street 1:1816 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-5006
Mailing Address - Country:US
Mailing Address - Phone:919-649-3530
Mailing Address - Fax:
Practice Address - Street 1:1816 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062
Practice Address - Country:US
Practice Address - Phone:919-649-3530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-21
Last Update Date:2014-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9600216251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable