NPI | 1386135820 |
---|---|
Entity Type | Organization |
Authorized Contact | MEGHANN HENNELLY Sole Member 630-732-6373 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.135834) |
Enumeration Date | 2018-05-21 |
Last Update Date | 2018-12-17 |