| NPI | 1538480736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBALL HENRY LADIEN Psychiatrist 773-883-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036076843) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2010-06-22 |