| NPI | 1336724145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MCMILLER Owner 708-434-0336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2021-03-12 |