| NPI | 1386709657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN GOULD SIGLIN President 773-989-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 042005116) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 042005116) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2008-04-21 |