| NPI | 1093161416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON GIMBEL Owner 847-721-9665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.131722) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-05-05 |