| NPI | 1043445935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL S MOSTOW Owner 773-561-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036084695) |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2009-05-20 |