| NPI | 1154534089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MING XU President 815-279-6065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036101005) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |