| NPI | 1518941541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALIA COLLAZO Ins Coordinator 708-448-8470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 36108344) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2020-08-22 |