| NPI | 1144369927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER EDWARD OBOLOSKY Owner 312-456-4343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036081074) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2008-09-04 |