| NPI | 1407465883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY GRIFFIN CEO 312-730-4355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QA0000X Family Medicine, Adolescent Medicine | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 207QA0505X Family Medicine, Adult Medicine | |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2021-10-08 |