| NPI | 1073523189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CAVANAUGH Owner 312-829-1463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: IL 036043121) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2012-09-25 |