| NPI | 1518679331 |
|---|---|
| Doing Business As | MYOWNDOCTOR MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MIRIAM SCHNEIDER General Counsel 847-863-2788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-12-23 |
| Last Update Date | 2023-10-31 |