NPI | 1205552213 |
---|---|
Entity Type | Organization |
Authorized Contact | PAYAL K SHAH Owner 773-957-5435 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2022-10-12 |
Last Update Date | 2022-10-12 |