| NPI | 1639560790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER KURTH Manager 773-301-7476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IL 036113283) |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2015-02-11 |