| NPI | 1629334743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARSHAD M. MEHTA President 708-425-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036-51716) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: IL 036-51716) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2012-04-03 |