| NPI | 1649620188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA A. WILLIAMS Owner / President 224-306-1879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036140532) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |