| NPI | 1003343872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAIG ALIEV Administrator 847-443-0006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IL 036126451) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036126451) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2022-06-22 |