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 |