NPI | 1407903024 |
---|---|
Entity Type | Organization |
Authorized Contact | EVERT M VANDERSTOEP President 312-856-0070 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036038186) |
Enumeration Date | 2007-01-04 |
Last Update Date | 2020-08-22 |