| NPI | 1134243942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELDON STUART GREENBERG Owner 773-561-3365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036042726) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: IL 036042726) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2011-11-01 |