| NPI | 1649441684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES E TURK Treasurer 312-269-9180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036038856) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2013-06-05 |