| NPI | 1376291849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAINA GUPTA Owner 312-498-8927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2022-07-01 |