| NPI | 1578767935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FABIAN CARBONELL President 773-649-4261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036098028) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2023-11-17 |