| NPI | 1568661072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHASTRI SWAMINATHAN Member 773-883-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036052238) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-07-13 |