| NPI | 1154563880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA LYNN LONG President 312-882-9119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036114793) |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2009-03-26 |