| NPI | 1003046046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS R BRIGHTWELL President 815-575-9310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IL 036-103977) |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2009-07-24 |