| NPI | 1235120668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY PROSKE Officer 708-774-2970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2010-07-23 |