| NPI | 1346296894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | E RICHARD BLONSKY Owner / Physician 312-337-6661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-08-22 |