| NPI | 1598919755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA SRIPADA Secretary 847-835-9085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IL 36054375) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2008-11-13 |