| NPI | 1346756491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE GAIL PARKS Owner/Medical Director 815-526-3781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 36-086270) |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2018-08-21 |