| NPI | 1356589345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LAVACCARE President 847-939-5169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036099823) |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2009-01-28 |