| NPI | 1306007778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASMAT Z JAFRY Psychiatrist 630-848-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: IL 036114959) |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: IL 036114959) |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 036114959) | |
| 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 036114959) | |
| 261Q00000X Clinic/Center (Licence: IL 036114959) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 036114959) | |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2016-11-08 |