| NPI | 1518131002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACINTO ANTONIO V DIZON President 847-212-9809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036085219) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2018-06-11 |