| NPI | 1548564537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC D BEAR Physician/Manager 773-458-4671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036-095995) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2015-06-13 |