| NPI | 1144495144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAD GHARAVI President 708-790-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 36-103322) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |