| NPI | 1417106667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORYE WOOL President 312-786-1426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036-038126) |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2008-09-11 |