| NPI | 1366612798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENATO DELOSSANTOS Doctor 847-519-3650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036073598) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-02-29 |