| NPI | 1013046465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE GABLE President 312-263-5114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036-038866) |
| Enumeration Date | 2007-03-03 |
| Last Update Date | 2020-08-22 |