| NPI | 1043781958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RACHMAN Owner 847-895-4540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TC0700X Psychologist, Clinical | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |