| NPI | 1003256462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH LEDVORA President 708-361-5110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036073475) |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2013-07-01 |