| NPI | 1215194519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMESH BABU VEMURI Vice President 815-397-7654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IL 36039266) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |