| NPI | 1285812438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA S. LIMA Agent 708-579-9223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036-085412) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2008-02-08 |