| NPI | 1144931023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEO KIM Director Of Clinical Admin Services 630-871-2100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2023-09-27 |