NPI | 1114272341 |
---|---|
Entity Type | Organization |
Authorized Contact | ARTHUR ROGGOW Authorized Official 312-942-7801 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2012-07-13 |
Last Update Date | 2012-07-13 |