| NPI | 1053188235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AISHA S SHARIQ President 815-708-2350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2023-12-07 |
| Last Update Date | 2024-04-29 |