| NPI | 1649353830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POURAN IMANI Owner 312-641-1156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036044875) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |