| NPI | 1437166170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC ERICKSON President 773-404-0160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036090369) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-08-22 |