| NPI | 1174049951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD DAVIS CEO 312-961-4490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| 208D00000X General Practice | |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2017-08-14 |