| NPI | 1033245105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAXIM ALEXIS CHASANOV President 847-363-0817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036084874) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2008-12-24 |