| NPI | 1578150264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUSUF SALAH President 224-777-8034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2022-11-11 |