| NPI | 1053483230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA O BRUSIL Medical Director 312-497-1467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036108646) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: IL 036108646) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |