| NPI | 1396944807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIXON FLEMON SPIVY Psychiatrist 773-883-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036046596) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-07-19 |