| NPI | 1386266930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN ADELSTEIN Manager 773-747-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2020-05-16 |
| Last Update Date | 2021-06-08 |