| NPI | 1215208491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED M LEVIN President 312-236-6675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.042517) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: IL 036.042517) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036.042517) | |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: IL 036.042517) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: IL 036.042517) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: IL 036.042517) | |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2012-02-02 |