| NPI | 1093069866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLA KOMAROVSKY Psychiatrist 847-217-4342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: IL 336-106106) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 036106106) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2013-03-13 |