| NPI | 1447403936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNITHA KAVURI Office Manager 217-428-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036072000) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2013-09-13 |