| NPI | 1295951168 |
|---|---|
| Other Name | PORTAGE CRAGIN PSYCHIATRIC |
| Entity Type | Organization |
| Authorized Contact | GERALD NOONAN Chief Financial Officer 847-635-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2008-06-19 |