| NPI | 1033267661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OK RO HONG President 847-544-5102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036-073905) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071-006314) |
| 103TC0700X Psychologist, Clinical (Licence: IL 071-006486) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2012-07-09 |