NPI | 1649347808 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK J TRELKA Physician 847-549-0232 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036082394) |
Enumeration Date | 2006-11-30 |
Last Update Date | 2012-01-09 |