| NPI | 1083069595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY SANDERS President 312-257-7771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036087433) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2018-03-30 |