| NPI | 1063445476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARDJAN FOROUTAN Owner 630-222-5574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036110360) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2015-05-21 |