| NPI | 1154679223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA LEWIS Practice Manager 312-695-2172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: IL 209.009740) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2012-08-21 |