| NPI | 1275727976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE GAIL PARKS Owner 847-542-9780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036086270) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2013-10-04 |