| NPI | 1114020757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ROBERT SINIBALDI President 708-923-7880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 042007031) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-08-22 |