NPI | 1225587835 |
---|---|
Entity Type | Organization |
Authorized Contact | MARICELA PEREZ Practice Owner 630-363-5117 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: IL APN 209005547) |
261QM0850X Clinic/Center, Adult Mental Health (Licence: IL APN209005547) | |
Enumeration Date | 2016-09-23 |
Last Update Date | 2023-07-31 |