| NPI | 1417154378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA YATES President 773-404-0160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036063549) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2007-12-06 |