| NPI | 1124288741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POURAN IMANI Psychiatrist 773-562-3276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006030) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2008-06-17 |