| NPI | 1407876832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD J VASU President 312-642-2434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036039369) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2013-05-28 |