| NPI | 1164687869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN DAY CEO 708-503-1105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036035802) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 335-027231) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |