NPI | 1215652011 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGEL HEREDIA MD President 630-845-9644 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
Enumeration Date | 2022-10-05 |
Last Update Date | 2023-01-12 |