| NPI | 1497190359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIVKUMAR PANDIAN Medical Director 630-560-6015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IL 036130036) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: IL 036130036) | |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2014-09-08 |