| NPI | 1497270995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEPALI GERSHAN Medical Director 847-204-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: IL A-8512-0001-A) |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2022-07-21 |