| NPI | 1063720282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRA CHASNOFF President 312-726-4011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 180007454) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2010-09-22 |