| NPI | 1578928578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAJWAR RAZIUDDIN President 847-542-0996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 180.005705) |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2015-12-18 |