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 |