| NPI | 1528195013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAREHA N. MALIK Owner 815-399-2190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IL 036-111811) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2008-03-25 |