| NPI | 1619305950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMEEL AHAMED Billing Manager 847-227-0293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 41416) |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2013-12-26 |