| NPI | 1154460004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN NATHAN MILLER Owner Private Practitioner 847-821-0590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036071575) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |