| NPI | 1356398614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIPAN K. GUPTA Physician 847-952-9140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036038958) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2022-07-21 |