| NPI | 1619731320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI A SMITH Office Manager 847-816-6441 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| 2084V0102X Psychiatry & Neurology Vascular Neurology | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2025-01-17 |