| NPI | 1578737631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHYAM PUPPALA CEO 773-989-9868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036073281) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-05-27 |