| NPI | 1497082770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED WALIUDDIN Manager 847-697-6290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036-119726) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IL 036-119726) |
| Enumeration Date | 2009-11-08 |
| Last Update Date | 2009-11-08 |