| NPI | 1134153133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONCHITA G GAVINO President 847-695-8721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 042005671) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2012-11-30 |