| NPI | 1003017864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP K MCCULLOUGH President 312-695-3680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036049877) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |