| NPI | 1548393762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH A BONGIORNO President 312-782-6319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036044186) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |