| NPI | 1043323272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE GOBER President 773-213-5016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036045996) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2016-02-19 |