| NPI | 1487044335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN K JACKER President 847-831-9304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036065604) |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-03-19 |