| NPI | 1336481332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILTON H DAUGHERTY Owner 773-947-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036048434) |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2013-03-18 |