| NPI | 1548456833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID R OLSON President 847-415-5077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 060005987) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2010-09-11 |