NPI | 1144522244 |
---|---|
Entity Type | Organization |
Authorized Contact | WAJID A. KHAN President 815-744-8253 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036115038) |
Enumeration Date | 2010-11-22 |
Last Update Date | 2010-11-22 |