| NPI | 1083072839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE KOPACZ Practice Managaer 847-559-5091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036100094) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2023-03-14 |