| NPI | 1144619750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM GIAKAS President 815-395-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209012268) |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-01-20 |