| NPI | 1558539882 |
|---|---|
| Doing Business As | DEPARTMENT OF PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | DAVID J TKACH CEO 217-545-7578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: IL 10-0066401) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-06-19 |