| NPI | 1366818221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH M GEORGES Manager 312-725-9635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 248.001219) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2015-08-14 |