| NPI | 1285421115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRIDHAR PRATHIKANTI Owner 773-960-0293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Enumeration Date | 2025-04-23 |
| Last Update Date | 2025-09-11 |