NPI | 1245372192 |
---|---|
Entity Type | Organization |
Authorized Contact | LORI WESLEY Office Manager 630-933-4603 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036080950) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2009-04-20 |