| NPI | 1093242844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARIQ GHEITH Owner 708-856-2338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME131849) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2022-07-21 |