| NPI | 1417299371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTINA C JONSSON President 847-410-2029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IL 036128065) |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2013-03-19 |