| NPI | 1467967760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANIKA NAVNEET SHUKUL Licensed Clinical Professional Coun 773-832-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 180009713) |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2018-11-14 |